William Grant Applegarth, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01039449A Issued in IN

Practice address

1861 Sturdy Road
Valparaiso, IN 46383-8017

Phone

(219) 548-0360

Fax

(219) 548-0358

NPI assigned

Jul 17, 2006

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Indiana University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applegarth Dermatology PCGroup PAC ID 6305811514, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Applegarth Dermatology PC

  • Specialist
  • Valparaiso, IN
  • NPI 1619010626
  Medicare reassignment Care Compare group NPD Authorized official
• Applegarth Dermatology PC

  • Medical Physician Assistant
  • Valparaiso, IN
  • NPI 1982096822
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1255359733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 MICHIGAN AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505150",
            "telephone_number": "219-324-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 STURDY ROAD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838017",
            "telephone_number": "219-548-0360",
            "fax_number": "219-548-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGARTH",
        "first_name": "WILLIAM",
        "middle_name": "GRANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01039449A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Antone
• Susan Antrim, PTA
• Vikram Appannagari, MD
• Applegarth Dermatology PC
• Applegarth Dermatology PC
• Michael Arbanas, LMHC
• Jessica Renee Arce, FNP-C
• Aspen Leaf Emergency Physicians, LLC
• Aspire Counseling Services LLC
• Aspire Oms, LLC

• Dermatology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.