OCOTILLO DERMATOLOGY, PLLC
NPI 1053871384
Family Medicine in Chandler, AZ

Active since March 22, 2019
3930 S ALMA SCHOOL RD STE 8, CHANDLER, AZ 85248(480) 917-4815(480) 963-2654 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2023, Mar 22, 2019 (2 updates tracked since 2019).

About Ocotillo Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCOTILLO DERMATOLOGY, PLLC (NPI 1053871384) is a healthcare organization registered as a family medicine in Chandler, Arizona and active in the NPI registry since March 2019. The organization lists Joseph David Allgeier, Owner, as its authorized official.

NPPES Registry Identity

NPI1053871384
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOCOTILLO DERMATOLOGY, PLLC
Location Address3930 S ALMA SCHOOL RD STE 8Chandler, AZ 85248-4510
Mailing Address1805 W Sparrow DrChandler, AZ 85286-5172 · (480) 625-7975
Fax(480) 963-2654
Organization SubpartNo
Authorized OfficialJoseph David AllgeierOwner · (480) 625-7975
Enumeration DateMarch 22, 2019
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1053871384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3930 S ALMA SCHOOL RD STE 8, Chandler, AZ 85248

Other Identifiers 1

Medicaid707265AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ocotillo Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ocotillo Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1144253071
3930 S ALMA SCHOOL RD STE 8
Chandler, AZ 85248
(480) 917-4815
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ocotillo Dermatology, PLLC's NPI number?

The NPI number for Ocotillo Dermatology, PLLC is 1053871384. It was assigned to this organization in the NPPES registry on March 22, 2019.

Where is Ocotillo Dermatology, PLLC located?

Ocotillo Dermatology, PLLC is located at 3930 S Alma School Rd Ste 8, Chandler, AZ 85248. The listed phone number is (480) 917-4815.

What is Ocotillo Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ocotillo Dermatology, PLLC enrolled in Medicare?

Yes. Ocotillo Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ocotillo Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ocotillo Dermatology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ocotillo Dermatology, PLLC was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.