Organization Active NPI

Dermatology Associates of Indiana PC

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1861613564
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES OF INDIANA PC
Practice address
8433 Harcourt Rd
Suite 310
Indianapolis, IN 46260-2190
Phone
(317) 338-9393
Fax
(317) 338-9399
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dr. Annette M Dinneen, M.D.NPI 1508951641
Title
Owner
Phone
(317) 338-9393

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

8433 Harcourt Rd
Suite 310
Indianapolis, IN 46260-2190

Mailing address

8433 Harcourt Rd Ste 310
Indianapolis, IN 46260-2198
Phone (317) 338-9393

Other practice location 1

1910 N Arlington Ave
Indianapolis, IN 46218-5128
Phone (317) 359-5357

Other practice location 2

17600 Shamrock Blvd Ste 1403
Westfield, IN 46074-7002
Phone (317) 338-9393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080825000155 IN Part B Supplier - Clinic/Group Practice 6507931649 Receives reassigned benefits from 7 practitioners
Practice locations: Noblesville, IN; Indianapolis, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0353637Dermatology Associates of Indiana1910 N Arlington Ave, Indianapolis, IN 46218ComplianceSep 8, 2026
15D0686351Dermatology Associates of Indiana8433 Harcourt Rd Ste 310, Indianapolis, IN 46260ComplianceJun 7, 2027

National Provider Directory

National Provider Directory

Locations

8433 Harcourt Rd
Ste 310
Indianapolis, IN 46260
Phone (317) 338-9393

17720 Village Center Dr
Noblesville, IN 46062

17600 Shamrock Blvd
Ste 600
Westfield, IN 46074
Phone (317) 214-5555

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1861613564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD STE 310",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602198",
            "telephone_number": "317-338-9393",
            "fax_number": "317-338-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD",
            "address_2": "SUITE 310",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602190",
            "telephone_number": "317-338-9393",
            "fax_number": "317-338-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 N Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462185128",
            "country_code": "US",
            "telephone_number": "317-359-5357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17600 Shamrock Blvd Ste 1403",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460747002",
            "country_code": "US",
            "telephone_number": "317-338-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "DINNEEN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-338-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.