Abigail Main, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10003238A Issued in IN

Practice address

931 E 86TH St Ste 104
Indianapolis, IN 46240-1852

Phone

(317) 257-1484

Fax

(317) 257-1488

NPI assigned

Apr 20, 2021

Sex

Female

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 OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dermatology Group IncGroup PAC ID 6406740141, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• The Dermatology Group, Inc

  • Dermatology Physician
  • Mason, OH
  • NPI 1780617860
  Medicare reassignment Care Compare group
• Dermatology Associates, P.C.

  • Specialist
  • Indianapolis, IN
  • NPI 1639483704
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1982285003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E 86TH ST STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401852",
            "telephone_number": "317-257-1484",
            "fax_number": "317-257-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E 86TH ST STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401852",
            "telephone_number": "317-257-1484",
            "fax_number": "317-257-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Northside Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470067052",
            "country_code": "US",
            "telephone_number": "812-932-0662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 S Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tipton",
            "state": "IN",
            "postal_code": "460728327",
            "country_code": "US",
            "telephone_number": "765-675-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIN",
        "first_name": "ABIGAIL",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-02-11",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "10003238A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A. Maiers, MD
• Mail Order Incontinent Supplies LLC
• Ellen Clare Mail, LICSW
• John T Mail, MD
• Rodney W Mail, MD
• Alexander Maina, LCSW
• Kirsten Cameron Mains, MA, CCC/SLP
• Marianne Maio-Duncan, R.N.
• Susan K Maisel, MD
• Maisie Counseling, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.