Dr Ruchik S Desai, MD is a medicare enrolled "Dermatology" physician in Portage, Indiana. He went to Indiana University School Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Illinois Dermatology Institute Llc, Illinois Dermatology Institute Llc and his current practice location is
3190 Lancer St, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 764-3600.
Dr Ruchik S Desai is licensed to practice in Indiana (license number 01057862A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710975255.
Physician's Profile
Full Name | Dr Ruchik S Desai |
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Gender | Male |
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Speciality | Micrographic Dermatologic Surgery (mds) |
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Experience | 26 Years |
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Location | 3190 Lancer St, Portage, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Ruchik S Desai attended and graduated from Indiana University School Of Medicine in 1999
NPI Data:
- NPI Number: 1710975255
- Provider Enumeration Date: 10/10/2005
- Last Update Date: 09/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 6507767449
- Enrollment ID: I20041113000025
Medical Identifiers
Medical identifiers for Dr Ruchik S Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710975255 | NPI | - | NPPES |
000000350979 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 01057862A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Illinois Dermatology Institute Llc | 7911043054 | 48 |
Illinois Dermatology Institute Llc | 7911043054 | 48 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ruchik S Desai allows following entities to bill medicare on his behalf.
Entity Name | Illinois Dermatology Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891920898 PECOS PAC ID: 7911043054 Enrollment ID: O20120611000010 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ruchik S Desai is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ruchik S Desai, MD 3190 Lancer St, Portage, IN 46368-4408 Ph: (219) 764-3600 | Dr Ruchik S Desai, MD 3190 Lancer St, Portage, IN 46368-4408 Ph: (219) 764-3600 |
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