UPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC
NPI 1073767240
Clinic/Center - Medical Specialty in Sun City, AZ

Q: What is Updegraff Clinic For Allergy & Dermatology PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since November 13, 2008CLIA 03D1092188 · Certificate of Compliance

14666 N DEL WEBB BLVD, SUN CITY, AZ 85351(623) 933-3107(623) 972-1418 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Updegraff Clinic For Allergy & Dermatology Pc NPPES

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

UPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC (NPI 1073767240) is a healthcare organization registered as a medical specialty in Sun City, Arizona and active in the NPI registry since November 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 31, 2027 and lists Bryan Robert Updegraff, President, as its authorized official.

NPPES Registry Identity

NPI1073767240

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameUPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC

Location Address14666 N DEL WEBB BLVDSun City, AZ 85351-2137

Mailing Address14666 N Del Webb BlvdSun City, AZ 85351-2137 · (623) 933-3107 · Fax (623) 972-1418

Phone(623) 933-3107

Fax(623) 972-1418

Organization SubpartNo

Authorized OfficialBryan Robert UpdegraffPresident · (623) 933-3107

Enumeration DateNovember 13, 2008

Last NPPES UpdateJanuary 15, 2024

NPPES CertifiedJanuary 15, 2024

✔ NPI 1073767240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in AZ · 10896

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

14666 N DEL WEBB BLVD, Sun City, AZ 85351

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Updegraff Clinic For Allergy & Dermatology Pc 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 Updegraff Clinic For Allergy & Dermatology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Updegraff, MD

Dermatology

NPI 1710971320

14666 N DEL WEBB BLVD
Sun City, AZ 85351

(623) 933-3107

✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D1092188

Updegraff Clinic For Allergy And Dermatology PC · Sun City, AZ

Active · expires Aug 31, 2027

CLIA Number03D1092188

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2025

Certificate Expiration DateAugust 31, 2027

Laboratory DirectorBryan R. Updegraff, MD

Laboratory Phone(623) 933-3107

Laboratory LocationUpdegraff Clinic For Allergy And Dermatology PC14666 N Del Webb Blvd, Sun City, AZ 85351

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Updegraff Clinic For Allergy & Dermatology PC's NPI number?

The NPI number for Updegraff Clinic For Allergy & Dermatology PC is 1073767240. It was assigned to this organization in the NPPES registry on November 13, 2008.

Where is Updegraff Clinic For Allergy & Dermatology PC located?

Updegraff Clinic For Allergy & Dermatology PC is located at 14666 N Del Webb Blvd, Sun City, AZ 85351. The listed phone number is (623) 933-3107.

What is Updegraff Clinic For Allergy & Dermatology PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Updegraff Clinic For Allergy & Dermatology PC enrolled in Medicare?

Yes. Updegraff Clinic For Allergy & Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Updegraff Clinic For Allergy & Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Updegraff Clinic For Allergy & Dermatology PC. 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.

Does Updegraff Clinic For Allergy & Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D1092188) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Updegraff Clinic For Allergy & Dermatology PC was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.