RED MOUNTAIN DERMATOLOGY LLC
NPI 1205542560
Dermatology in Goodyear, AZ

Active since January 30, 2023
13657 W MCDOWELL RD STE 207, GOODYEAR, AZ 85395(602) 815-5358 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Red Mountain Dermatology Llc NPPES

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

RED MOUNTAIN DERMATOLOGY LLC (NPI 1205542560) is a healthcare organization registered as a dermatology in Goodyear, Arizona and active in the NPI registry since January 2023. The organization lists Ryan K Bingham, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1205542560
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRED MOUNTAIN DERMATOLOGY LLC
Location Address13657 W MCDOWELL RD STE 207Goodyear, AZ 85395-2603
Mailing Address2753 E Broadway Rd # 101-436Mesa, AZ 85204-1579
Organization SubpartNo
Authorized OfficialRyan K BinghamOwner/managing Member · (480) 250-4730
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1205542560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
13657 W MCDOWELL RD STE 207, Goodyear, AZ 85395

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)

Red Mountain Dermatology Llc 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 Red Mountain Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1235391889
2855 E BROWN RD STE 28
Mesa, AZ 85213
(480) 625-4538
✔ PECOS✔ Accepts Medicare34 mi

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 Red Mountain Dermatology LLC's NPI number?

The NPI number for Red Mountain Dermatology LLC is 1205542560. It was assigned to this organization in the NPPES registry on January 30, 2023.

Where is Red Mountain Dermatology LLC located?

Red Mountain Dermatology LLC is located at 13657 W Mcdowell Rd Ste 207, Goodyear, AZ 85395. The listed phone number is (602) 815-5358.

What is Red Mountain Dermatology LLC's specialty?

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

Is Red Mountain Dermatology LLC enrolled in Medicare?

Yes. Red Mountain Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Red Mountain Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Red Mountain Dermatology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Red Mountain Dermatology LLC was last updated on January 30, 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.