Individual provider Active NPI

Lisa Edwards Trivedi, MD

  • Dermatology Physician
  • Carmel, IN
National Provider Identifier
1497285357
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01085803A Issued in IN
Practice address
725 Lakefront CT
Carmel, IN 46032-5893
Phone
(317) 926-3739
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01085803A IN Primary

Addresses

Primary practice location

725 Lakefront CT
Carmel, IN 46032-5893

Mailing address

875 Airport Pkwy
Greenwood, IN 46143-1085
Phone (317) 926-3739

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210708000416 IN Practitioner - Dermatology 9931475902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Inc.Group PAC ID 4587604962, 20 clinicians

Practice addresses (Care Compare)

725 Lakefront CT
Carmel, IN 46032-5893
Phone (317) 926-3739

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions694
Removal or shaving of skin growth1-10
Skin biopsy245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Inc Dermatology CurrentSince Aug 10, 2021 Accepting new patients
Dermatology Inc Dermatology CurrentSince Aug 10, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

725 Lakefront Ct
Carmel, IN 46032
Phone (317) 426-3739

875 Airport Pkwy
Greenwood, IN 46143
Phone 31792637395155

Interoperability endpoints

  • Direct secure messaging: ltrivedi@derminc.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1497285357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 AIRPORT PKWY",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431085",
            "telephone_number": "317-926-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 LAKEFRONT CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325893",
            "telephone_number": "317-926-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "LISA",
        "middle_name": "EDWARDS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01085803A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.