CLEAR SKY DERMATOLOGY LLC
NPI 1306369996
Dermatology in Goodyear, AZ
About Clear Sky Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEAR SKY DERMATOLOGY LLC (NPI 1306369996) is a healthcare organization registered as a dermatology in Goodyear, Arizona and active in the NPI registry since July 2017. The organization holds a CLIA Certificate of Compliance certificate valid through December 11, 2026 and lists Kevin Svancara, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Clear Sky Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clear Sky Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 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 03D2137548
Clear Sky Dermatology LLC · Goodyear, 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 Clear Sky Dermatology LLC's NPI number?
The NPI number for Clear Sky Dermatology LLC is 1306369996. It was assigned to this organization in the NPPES registry on July 25, 2017.
Where is Clear Sky Dermatology LLC located?
Clear Sky Dermatology LLC is located at 2620 N 140th Ave Ste 103, Goodyear, AZ 85395. The listed phone number is (623) 219-4777.
What is Clear Sky Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Clear Sky Dermatology LLC enrolled in Medicare?
Yes. Clear Sky Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clear Sky Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clear Sky Dermatology LLC, in Dermatology and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clear Sky Dermatology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 03D2137548) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clear Sky Dermatology LLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Clear Sky Dermatology 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 Clear Sky Dermatology LLC was last updated on March 22, 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.
# Clear Sky Dermatology Llc · NPI 1306369996
Dermatology organization in Goodyear, Arizona. Organization record, active in the CMS NPPES registry since July 25, 2017.
## Identity
- **NPI:** 1306369996 (Entity type: Organization)
- **Enumerated:** July 25, 2017
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Svancara, OWNER/PHYSICIAN
## Practice location
- **Address:** 2620 N 140TH AVE STE 103, Goodyear, AZ 85395-2437
- **Phone:** (623) 219-4777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2023
- **Other identifiers:** Other 006549 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306369996) · Data from the CMS NPPES public registry.