BINGHAM DERMATOLOGY GROUP, LLC
NPI 1083957906
Dermatology in Mesa, AZ
About Bingham Dermatology Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BINGHAM DERMATOLOGY GROUP, LLC (NPI 1083957906) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since March 2013. The organization lists Jeremy Kempton Bingham, Owner / Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bingham Dermatology Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bingham Dermatology Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 03D2066117
Bingham Dermatology Group · Mesa, AZFrequently 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 Bingham Dermatology Group, LLC's NPI number?
The NPI number for Bingham Dermatology Group, LLC is 1083957906. It was assigned to this organization in the NPPES registry on March 28, 2013.
Where is Bingham Dermatology Group, LLC located?
Bingham Dermatology Group, LLC is located at 2855 E Brown Rd Suite 22, Mesa, AZ 85213. The listed phone number is (111) 111-1111.
What is Bingham Dermatology Group, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Bingham Dermatology Group, LLC enrolled in Medicare?
Yes. Bingham Dermatology Group, LLC is registered in the Medicare PECOS enrollment system.
When is Bingham Dermatology Group, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bingham Dermatology Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bingham Dermatology Group, LLC, in Dermatology and Plastic and Reconstructive Surgery. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bingham Dermatology Group, LLC accept?
Health plans from Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Bingham Dermatology Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bingham Dermatology Group, LLC was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Bingham Dermatology Group, Llc · NPI 1083957906
Dermatology organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since March 28, 2013.
## Identity
- **NPI:** 1083957906 (Entity type: Organization)
- **Enumerated:** March 28, 2013
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Bingham, OWNER / MANAGING MEMBER
## Practice location
- **Address:** 2855 E BROWN RD, SUITE 22, Mesa, AZ 85213-4213
- **Phone:** (111) 111-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Plastic and Reconstructive Surgery (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083957906) · Data from the CMS NPPES public registry.