Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sally A Booth, MD

Individual provider Dermatology Physician · NPI 1669452884

Dr. Sally A Booth, MD is a Dermatology in Zionsville, Indiana. Graduated from University of Minnesota Medical School in 1990, 36 years ago. Practices with Booth Dermatology Group, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
36
Trained at
University of Minnesota Medical School
Licensed in
FL, IN
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12050 N Michigan Rd
Zionsville, IN 46077-8782
Phone: (317) 848-2427
Fax: (317) 848-2434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 01042816A (IN)
Dermatology Physician Taxonomy 207N00000X · Licence ME142799 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 01042816A (IN)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 01042816A (IN)

Record details

NPI number1669452884
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address12050 N Michigan Rd, Zionsville, IN 46077-8782

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1990 (36 years in practice)
Group practice Booth Dermatology Group, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Zionsville