1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Dermatology
  6. NPI Profile

AAP DERMATOLOGY & COSMETIC SURGERY, P.C.
NPI 1174730147
Dermatology in Mesa, AZ

Active since May 17, 2007CLIA 03D0529436 · Certificate of Compliance
3940 E UNIVERSITY DR, SUITE ONE, MESA, AZ 85205(480) 924-9235(480) 832-5501 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aap Dermatology & Cosmetic Surgery, P.c. NPPES

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

AAP DERMATOLOGY & COSMETIC SURGERY, P.C. (NPI 1174730147) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 19, 2028 and lists Ronald M Glick, President, as its authorized official.

NPPES Registry Identity

NPI1174730147
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAAP DERMATOLOGY & COSMETIC SURGERY, P.C.
Location Address3940 E UNIVERSITY DR, SUITE ONEMesa, AZ 85205-6945
Mailing Address3940 E University DrMesa, AZ 85205-6945 · (480) 924-9235 · Fax (480) 832-5501
Phone(480) 924-9235
Fax(480) 832-5501
Organization SubpartNo
Authorized OfficialRonald M GlickPresident · (480) 924-9235
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1174730147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AZ · 2012
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3940 E UNIVERSITY DR, Mesa, AZ 85205
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aap Dermatology & Cosmetic Surgery, P.c. 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 Aap Dermatology & Cosmetic Surgery, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronald Glick, D.O.
Dermatology
NPI 1235134412
3940 E UNIVERSITY DR
Mesa, AZ 85205
(480) 924-9235
✔ 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 03D0529436

Aap Dermatology & Cosmetic Surgery · Mesa, AZ
Active · expires Jun 19, 2028
CLIA Number03D0529436
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorRonald M. Glick
Laboratory Phone(480) 924-9235
Laboratory LocationAap Dermatology & Cosmetic Surgery3940 E University Dr, Ste #1, Mesa, AZ 85205
CLIA data matches this NPI record on: Address Name 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 Aap Dermatology & Cosmetic Surgery, P.C.'s NPI number?

The NPI number for Aap Dermatology & Cosmetic Surgery, P.C. is 1174730147. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Aap Dermatology & Cosmetic Surgery, P.C. located?

Aap Dermatology & Cosmetic Surgery, P.C. is located at 3940 E University Dr Suite One, Mesa, AZ 85205. The listed phone number is (480) 924-9235.

What is Aap Dermatology & Cosmetic Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Aap Dermatology & Cosmetic Surgery, P.C. enrolled in Medicare?

Yes. Aap Dermatology & Cosmetic Surgery, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aap Dermatology & Cosmetic Surgery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Aap Dermatology & Cosmetic Surgery, P.C.. 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 Aap Dermatology & Cosmetic Surgery, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D0529436) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aap Dermatology & Cosmetic Surgery, P.C. accept?

Health plans from Imperial Insurance Companies, Inc. list Aap Dermatology & Cosmetic Surgery, P.C. 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 Aap Dermatology & Cosmetic Surgery, P.C. was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.