Organization Active NPI

Biltmore Dermatology LLC

  • Dermatology Physician
  • Terre Haute, IN
National Provider Identifier
1649704065
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BILTMORE DERMATOLOGY LLC
Practice address
76 W Springhill Dr
Terre Haute, IN 47802-8767
Phone
(812) 994-1404
Fax
(844) 262-4878
NPI assigned
Apr 12, 2017
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Ryan Patterson, DCNPNPI 1972669455
Title
Owner
Phone
(812) 994-1404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

76 W Springhill Dr
Terre Haute, IN 47802-8767

Mailing address

PO Box 3445
Indianapolis, IN 46206-3445
Phone (812) 994-1404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170913000249 IN Part B Supplier - Clinic/Group Practice 0143593145 Receives reassigned benefits from 4 practitioners
Practice locations: Vincennes, IN; Terre Haute, IN

National Provider Directory

National Provider Directory

Locations

76 W Springhill Dr
Terre Haute, IN 47802
Phone (812) 299-2020

1813 Willow St
Ste 3B
Vincennes, IN 47591
Phone 81247772461017

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1649704065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063445",
            "telephone_number": "812-994-1404",
            "fax_number": "844-262-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028767",
            "telephone_number": "812-994-1404",
            "fax_number": "844-262-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-994-1404",
        "authorized_official_credential": "DCNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.