ARIZONA INSTITUTE OF DERMATOLOGY PAYSON LLC
NPI 1093416893
Dermatology in Payson, AZ
About Arizona Institute Of Dermatology Payson Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA INSTITUTE OF DERMATOLOGY PAYSON LLC (NPI 1093416893), doing business as Peak Dermatology, is a healthcare organization registered as a dermatology in Payson, Arizona and active in the NPI registry since March 2023. The organization holds a CLIA Certificate of Compliance certificate valid through May 11, 2027, maintains 2 additional practice locations, and lists Christopher Ugochukwu Ugorji Rex, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arizona Institute Of Dermatology Payson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Arizona Institute Of Dermatology Payson LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 03D2279695
Arizona Institute Of Dermatology Dba Peak Dermatology · Payson, 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 Arizona Institute Of Dermatology Payson LLC's NPI number?
The NPI number for Arizona Institute Of Dermatology Payson LLC is 1093416893. It was assigned to this organization in the NPPES registry on March 17, 2023. The provider is doing business as Peak Dermatology and Peak Dermatology Aesthetics and Wellness.
Where is Arizona Institute Of Dermatology Payson LLC located?
Arizona Institute Of Dermatology Payson LLC is located at 127 E Main St Ste A, Payson, AZ 85541. The listed phone number is (928) 951-0395.
What is Arizona Institute Of Dermatology Payson LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Arizona Institute Of Dermatology Payson LLC enrolled in Medicare?
Yes. Arizona Institute Of Dermatology Payson LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arizona Institute Of Dermatology Payson LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Arizona Institute Of Dermatology Payson LLC. 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. The largest specialties are Nurse Practitioner (3), Dermatology (1) and Pediatric Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Arizona Institute Of Dermatology Payson LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 03D2279695) is associated with this NPI, valid through May 11, 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 Arizona Institute Of Dermatology Payson LLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.