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Deactivated NPI 1083148589 Deactivated / Inactive NPI Female Practitioner

Dr. Shalini Thareja , MD

Dermatology • Melbourne, FL

✓ Accepts Medicare Assignment Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shalini Thareja has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2017
NPI Deactivation Date October 27, 2020
Total Practice Duration ~3 Years of Practice (2017 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Shalini Thareja, MD was a registered Dermatology in Melbourne, FL. Prior to record deactivation on 2020-10-27, Dr. Thareja completed approximately 3 years of clinical practice following graduation from Emory University School Of Medicine in 2017.

Dr. Thareja was affiliated with Indigo Dermatology Llc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, tangential biopsy of single skin lesion. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

675 S Babcock St

Melbourne, FL 329011459

Telephone 3219511010
Fax 3219524038
Associated Practice Facility / Clinic
🏢 Quality Medical Care Pa Facility NPI 1114912607

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Melbourne, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -11.7 yrs vs City Avg
City Avg: 20.7 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Melbourne, FL (1273 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
41.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thareja (9 Years) 9 Yrs
Melbourne Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
134 22 $12.00 $6.21
99213 Established patient office or other outpatient visit, typically 15 minutes
101 58 $110.00 $87.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
76 43 $162.00 $119.68
11102 Tangential biopsy of single skin lesion
62 42 $148.00 $80.54
17000 Destruction of skin growth
48 30 $104.00 $41.88
11103 Biopsy of related skin growth, each additional growth
41 24 $80.00 $47.78
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
30 19 $1063.00 $573.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
27 27 $165.00 $108.72
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
27 12 $234.00 $130.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
25 16 $630.00 $393.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $254.00 $163.28
17110 Destruction of up to 14 skin growths
20 16 $170.00 $89.13
17004 Destruction of precancer skin growth, 15 or more growths
17 15 $275.00 $160.35

Medical Specialties & State Licenses

CMS Verified: 2020-12-03
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME145980

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Indigo Dermatology Llc

675 S Babcock St, Melbourne, FL 329011459

Phone: 3219511010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. David Pocoski , MD

Internal Medicine - Cardiovascular Disease

NPI 1235194754

Doctor of Medicine (M.D.)

Monica Wise , ARNP

Nurse Practitioner - Family

NPI 1437324670

Advanced Registered Nurse Practitioner

Heather Weeks , ARNP

Nurse Practitioner

NPI 1487217063

Advanced Registered Nurse Practitioner

Amelia Lammers , APRN

Nurse Practitioner - Adult Health

NPI 1558807669

Advanced Practice Registered Nurse

NPI 1609165794

Doctor of Medicine (M.D.)

Dr. James Ronaldson , MD

Internal Medicine - Cardiovascular Disease

NPI 1609851245

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 03, 2020

Registered at 675 S BABCOCK ST, MELBOURNE, FL 329011459 (Tel: 3219511010)

📍
Updated Business Mailing Address December 03, 2020

Registered at 675 S BABCOCK ST, MELBOURNE, FL 329011459 (Tel: 3219511010)

👤
Provider Name / Credentials Updated December 03, 2020

Recorded as SHALINI THAREJA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2020

Dermatology (License #ME145980 in FL)

⚠️
NPI Profile Deactivated October 27, 2020

Record deactivated on October 27, 2020

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2017

Registered at 49 JESSE HILL JR DR SE, ATLANTA, GA 303033049 (Tel: 4042518796)

📍
Updated Business Mailing Address April 12, 2017

Registered at 49 JESSE HILL JR DR SE, ATLANTA, GA 303033049 (Tel: 4042518796)

👤
Provider Name / Credentials Updated April 12, 2017

Recorded as SHALINI THAREJA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083148589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2017
Last Update: December 03, 2020
Deactivation Date: October 27, 2020
Sole Proprietor: Yes

Mailing Address

675 S Babcock St

Melbourne, FL 329011459

Phone: 3219511010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.