Individual provider

Luiz Pantalena Filho, MD, PHD

Dermatology Physician MOHS-Micrographic Surgery Physician Medicare enrolled

Luiz Pantalena Filho, MD, PHD is a Dermatology Physician in South Bend, IN, registered under NPI 1225321722. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4322 S LAFAYETTE BLVD, South Bend, IN 46614. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4322 S LAFAYETTE BLVD, South Bend, IN 46614 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
01073773A IN Dermatology Physician primary
01073773A IN MOHS-Micrographic Surgery Physician

This provider holds licence 01073773A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Micrographic Dermatologic Surgery (mds)
PAC ID
6406176460
Enrollment ID
I20150515000232

Medicare enrolment is recorded as approved under the provider type Practitioner - Micrographic Dermatologic Surgery (mds). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dermatology covers

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. NUCC Health Care Provider Taxonomy, code 207N00000X
Allopathic & Osteopathic Physicians Dermatology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207N00000X Dermatology Physician 01073773A IN primary
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery 01073773A IN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1225321722 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 17, 2011
Last updatedApr 11, 2025
StatusActive
Sole proprietorNo
CredentialMD, PHD
Practice address 4322 S LAFAYETTE BLVD
South Bend, IN 46614
(574) 391-1111
Fax (574) 859-5040
This record was updated on Apr 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1225321722 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 2 5 3 2 1 7 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 4 5 6 2 2 7 4

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1225321722?
NPI 1225321722 is the National Provider Identifier assigned to Luiz Pantalena Filho, MD, PHD in South Bend, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dermatology Physician cover?
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…
How do I contact Luiz Pantalena Filho, MD, PHD?
The phone number on file with NPPES is (574) 391-1111, last updated Apr 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Luiz Pantalena Filho, MD, PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1225321722 a valid number?
Yes. 1225321722 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.