RED MOUNTAIN DERMATOLOGY LLC
NPI 1205542560
Dermatology in Goodyear, AZ
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
Specialties & Licenses
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)
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)
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.