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AFFILIATED DERMATOLOGY
NPI 1407804115
Dermatology in Scottsdale, AZ

Active since May 05, 2006CLIA Certified · 10 labs
20401 N 73RD ST, SUITE 230, SCOTTSDALE, AZ 85255(480) 556-0446(480) 556-0447 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Affiliated Dermatology NPPES

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

AFFILIATED DERMATOLOGY (NPI 1407804115) is a healthcare organization registered as a dermatology in Scottsdale, Arizona and active in the NPI registry since May 2006. The organization holds 10 active CLIA laboratory certificates and lists Marlie R Averitte, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1407804115
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRICHARD LEE AVERITTE JR PLLC
Location Address20401 N 73RD ST, SUITE 230Scottsdale, AZ 85255-4153
Mailing Address20401 N 73rd St, Suite 230Scottsdale, AZ 85255-4153 · (480) 556-0446 · Fax (480) 556-0447
Phone(480) 556-0446
Fax(480) 556-0447
Organization SubpartNo
Authorized OfficialMarlie R AveritteBusiness Manager · (480) 556-0446
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 9, 2012
✔ NPI 1407804115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AZ · 30247
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.
20401 N 73RD ST, Scottsdale, AZ 85255
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Other Names 1

Doing Business AsAffiliated Dermatology

Other Identifiers 1

Medicare PINZ69745AZ

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 Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc and more.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)

Affiliated Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Affiliated Dermatology, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner15
Dermatology11
Pathology3

Nearest to this location (20)

See all 29
Richard Averitte, MD
Dermatology
NPI 1902865959
20401 N 73RD ST STE 230
Scottsdale, AZ 85255
(480) 556-0446
✔ PECOSSame address
Jason Barr, DO
Dermatology
NPI 1457312027
20401 N 73RD STREET SUITE 230
Scottsdale, AZ 85255
(480) 556-0446
✔ PECOS✔ Accepts MedicareSame address
Sarah Estrada, M.D.
Pathology
NPI 1548350218
20401 N 73RD STREET SUITE 230
Scottsdale, AZ 85255
(480) 556-0446
✔ PECOS✔ Accepts MedicareSame address
Karan Lal, DO
Dermatology
NPI 1679928832
20401 N 73RD ST STE 230
Scottsdale, AZ 85255
(480) 556-0446
✔ PECOS✔ Accepts MedicareSame address
Christine Lin, MD
Dermatology
NPI 1497703797
20401 N 73RD STREET SUITE 230
Scottsdale, AZ 85255
(480) 556-0446
✔ PECOS✔ Accepts MedicareSame address
Mitchell Manway, D.O.
Dermatology
NPI 1083024921
20401 N 73RD ST STE 230
Scottsdale, AZ 85255
(480) 556-0446
✔ PECOS✔ Accepts MedicareSame address
Alexia Lombardi
Nurse Practitioner
NPI 1497628291
20401 N 73RD ST STE 230
Scottsdale, AZ 85255
(480) 556-0446
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Stricker, NP
Nurse Practitioner
NPI 1427729599
3815 E BELL RD STE 3100
Phoenix, AZ 85032
(480) 916-3376
✔ PECOS✔ Accepts Medicare4.9 mi
Travis Lam, D.O.
Dermatology
NPI 1841313020
3815 E BELL RD STE 3100
Phoenix, AZ 85032
(480) 916-3376
✔ PECOS✔ Accepts Medicare5.0 mi
Trista Simon, FNP-C
Nurse Practitioner
NPI 1083210199
25036 N 107TH WAY
Scottsdale, AZ 85255
(026) 525-1381
✔ PECOS✔ Accepts Medicare5.1 mi
Stephanie Schafer, DNP
Nurse Practitioner
NPI 1093202731
28138 N TATUM BLVD
Cave Creek, AZ 85331
(186) 638-9272
✔ PECOS✔ Accepts Medicare5.6 mi
Sampreet Reddy, MD
Dermatology
NPI 1992299622
19646 N 27TH AVE STE 305
Phoenix, AZ 85027
(480) 556-0446
✔ PECOS✔ Accepts Medicare11 mi
Nathan Klein, FNP-C
Nurse Practitioner
NPI 1417469982
19646 N 27TH AVE STE 305
Phoenix, AZ 85027
(480) 556-0446
✔ PECOS✔ Accepts Medicare11 mi
Christa Williams, FNP-BC
Nurse Practitioner
NPI 1639919699
19646 N 27TH AVE STE 305
Phoenix, AZ 85027
(480) 556-0446
✔ PECOS✔ Accepts Medicare11 mi
Christina Love, NP
Nurse Practitioner
NPI 1518686062
7331 E OSBORN DR STE 330
Scottsdale, AZ 85251
(480) 556-0446
✔ PECOS✔ Accepts Medicare13 mi
Andrew Newman, D.O.
Dermatology
NPI 1386091163
7331 E OSBORN DR STE 330
Scottsdale, AZ 85251
(480) 556-0446
✔ PECOS✔ Accepts Medicare13 mi
Ye Ji Shin, DNP
Nurse Practitioner
NPI 1659921542
5018 N 7TH ST
Phoenix, AZ 85014
(602) 255-7680
✔ PECOS14 mi
Kathrina Ridley, FNP-C
Nurse Practitioner
NPI 1700358322
1300 N 12TH ST STE 404
Phoenix, AZ 85006
(800) 233-3264
✔ PECOS✔ Accepts Medicare16 mi
Lorin Cain, FNP-C
Nurse Practitioner
NPI 1922824663
41810 N VENTURE DR UNIT D136
Phoenix, AZ 85086
(480) 556-0446
✔ PECOS✔ Accepts Medicare18 mi
Ben Williams, MD
Dermatology
NPI 1407483852
41810 N VENTURE DR UNIT D136
Anthem, AZ 85086
(304) 838-3084
✔ PECOS✔ Accepts Medicare18 mi
See all 29 clinicians

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 10

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 03D1000791

Richard L Averitte, Jr PLLC Dba Affiliated Dermatology · Scottsdale, AZ
Active · expires Jan 11, 2028
CLIA Number03D1000791
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorChristine C. Lin
Laboratory Phone(480) 556-0446
Laboratory LocationRichard L Averitte, Jr PLLC Dba Affiliated Dermatology20401 N 73rd St Suite 230, Scottsdale, AZ 85255
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2272713

Richard L Averitte Jr PLLC Dba Affiliated Dermatology · Scottsdale, AZ
Active · expires Nov 27, 2026
CLIA Number03D2272713
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorKaran Lal
Laboratory Phone(480) 556-0446
Laboratory LocationRichard L Averitte Jr PLLC Dba Affiliated Dermatology20401 N 73rd St Ste 295, Scottsdale, AZ 85255
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 03D1070282

Richard Lee Averitte Jr PLLC Dba Affiliated Dermatology · Scottsdale, AZ
Active · expires Nov 23, 2027
CLIA Number03D1070282
Laboratory TypeIndependent
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorDr. Sarah I. Estrada
Laboratory Phone(480) 563-7507
Laboratory LocationRichard Lee Averitte Jr PLLC Dba Affiliated Dermatology20401 N 73rd St, Ste 225, Scottsdale, AZ 85255
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D2168294

Richard Lee Averitte Jr PLLC Dba Affiliated Dermatology · Tempe, AZ
Active · expires Jul 29, 2028
CLIA Number03D2168294
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2026
Certificate Expiration DateJuly 29, 2028
Laboratory DirectorChristine C. Lin
Laboratory Phone(480) 556-0446
Laboratory LocationRichard Lee Averitte Jr PLLC Dba Affiliated Dermatology2127 E Baseline Rd Ste 104, Tempe, AZ 85283
CLIA data matches this NPI record on: 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.

Certificate of Compliance 03D1067869

Richard Lee Averitte Jr PLLC Dba Affiliated Dermatology · Anthem, AZ
Active · expires Mar 30, 2028
CLIA Number03D1067869
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorJason A. Barr
Laboratory Phone(480) 556-0446
Laboratory LocationRichard Lee Averitte Jr PLLC Dba Affiliated Dermatology41810 N Venture Dr, Ste D-136, Anthem, AZ 85086
CLIA data matches this NPI record on: 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.

Certificate of Compliance 03D1097352

Richard Lee Averitte Jr PLLC Dba Affiliated Dermatology · Phoenix, AZ
Active · expires Feb 17, 2028
CLIA Number03D1097352
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorJason A. Barr
Laboratory Phone(480) 556-0446
Laboratory LocationRichard Lee Averitte Jr PLLC Dba Affiliated Dermatology19646 N 27th Ave, Ste 305, Phoenix, AZ 85027
CLIA data matches this NPI record on: 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 Richard Lee Averitte Jr PLLC's NPI number?

The NPI number for Richard Lee Averitte Jr PLLC is 1407804115. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Affiliated Dermatology.

Where is Richard Lee Averitte Jr PLLC located?

Richard Lee Averitte Jr PLLC is located at 20401 N 73rd St Suite 230, Scottsdale, AZ 85255. The listed phone number is (480) 556-0446.

What is Richard Lee Averitte Jr PLLC's specialty?

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

Is Richard Lee Averitte Jr PLLC enrolled in Medicare?

Yes. Richard Lee Averitte Jr PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Richard Lee Averitte Jr PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 3 Medicare specialties reassign their Medicare billing to Richard Lee Averitte Jr PLLC. 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 (15), Dermatology (11) and Pathology (3). Of these, 7 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Richard Lee Averitte Jr PLLC hold CLIA laboratory certificates?

Yes. 10 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Richard Lee Averitte Jr PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Sanford Health Plan list Richard Lee Averitte Jr PLLC 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 Richard Lee Averitte Jr PLLC was last updated on August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.