BEATRICE KELLER CLINIC, PC
NPI 1467402933
Dermatology in Peoria, AZ

Active since May 12, 2006CLIA Certified · 4 labs
13943 N 91ST AVE, C-101, PEORIA, AZ 85381(623) 972-3992(623) 974-9351 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beatrice Keller Clinic, Pc NPPES

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

BEATRICE KELLER CLINIC, PC (NPI 1467402933) is a healthcare organization registered as a dermatology in Peoria, Arizona and active in the NPI registry since May 2006. The organization holds 4 active CLIA laboratory certificates and lists James W Groff, President, as its authorized official.

NPPES Registry Identity

NPI1467402933
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBEATRICE KELLER CLINIC, PC
Location Address13943 N 91ST AVE, C-101Peoria, AZ 85381-3687
Mailing Address13943 N 91st Ave, C-101Peoria, AZ 85381-3687 · (623) 972-3992 · Fax (623) 974-9351
Fax(623) 974-9351
Organization SubpartNo
Authorized OfficialJames W GroffPresident · (623) 584-2127
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 11, 2008
NPI 1467402933 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.

13943 N 91ST AVE, Peoria, AZ 85381

Other Identifiers 10

Other0813027AZ · Aetna
Other838542AZ · United Health Care
Other4265098AZ · Cigna
Other1467402933AZ · Ahcccs
OtherCT0844AZ · Railroad Medicare
Other000838542AZ · Evercare
Medicare PINZWCHTRAZ
Other0846027AZ · Aetna
Other188961600AZ · Dept Of Labor Work Comp
Medicare PINZWCKLLAZ

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

CLIA Laboratory Certificates CMS CLIA 4

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2296432

Southwest Skin Specialists LLC Dba Dba Beatrice Keller Clinic · Peoria, AZ
Active · expires Dec 27, 2027
CLIA Number03D2296432
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorTroy C. Ellis
Laboratory Phone(623) 972-3992
Laboratory LocationSouthwest Skin Specialists LLC Dba Dba Beatrice Keller Clinic13943 N 91st Ave Bldg C-101, Peoria, AZ 85381
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 for Provider-Performed Microscopy Procedures (PPMP) 03D0531269

Southwest Skin Specialists, LLC Dba Beatrice Keller Clinic · Sun City West, AZ
Active · expires Apr 15, 2028
CLIA Number03D0531269
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorJeremy S. Kennedy
Laboratory Phone(623) 584-2127
Laboratory LocationSouthwest Skin Specialists, LLC Dba Beatrice Keller Clinic14506 W Granite Valley Rd, Ste 205, Sun City West, AZ 85375
CLIA data matches this NPI record on: 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 03D0531627

Us Dermatology Partners Dba Beatrice Keller Clinic · Peoria, AZ
Active · expires Apr 5, 2028
CLIA Number03D0531627
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorDeborah Zell
Laboratory Phone(623) 972-3992
Laboratory LocationUs Dermatology Partners Dba Beatrice Keller Clinic9000 W Thunderbird Rd Ste 210, Peoria, AZ 85381
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 03D1081123

Southwest Skin Specialist Dba Beatrice Keller Clinic · Surprise, AZ
Active · expires Oct 29, 2026
CLIA Number03D1081123
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorKatharine M. Cordova
Laboratory Phone(623) 584-2127
Laboratory LocationSouthwest Skin Specialist Dba Beatrice Keller Clinic13985 W Grand Ave Ste 200, Surprise, AZ 85374
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
13943 N 91ST AVE, STE H101
PEORIA, AZ 85381
Radiology (Diagnostic Radiology)
13943 N 91ST AVE, BUILDING A, SUITE 102
PEORIA, AZ 85381
Dermatology
13943 N 91ST AVE, C-101
PEORIA, AZ 85381
Dermatology (MOHS-Micrographic Surgery)
13943 N 91ST AVE, #C-1
PEORIA, AZ 85381
Clinic/Center (Sleep Disorder Diagnostic)
13943 N 91ST AVE, SUITE B104
PEORIA, AZ 85381
Internal Medicine (Cardiovascular Disease)
13943 N 91ST AVE, SUITE F101
PEORIA, AZ 85381
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
13943 N 91ST AVE, SUITE 102
PEORIA, AZ 85381
Ophthalmology
13943 N 91ST AVE, BLDG G
PEORIA, AZ 85381

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 Beatrice Keller Clinic, PC's NPI number?

The NPI number for Beatrice Keller Clinic, PC is 1467402933. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Beatrice Keller Clinic, PC located?

Beatrice Keller Clinic, PC is located at 13943 N 91st Ave C-101, Peoria, AZ 85381. The listed phone number is (623) 972-3992.

What is Beatrice Keller Clinic, PC's specialty?

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

Does Beatrice Keller Clinic, PC hold CLIA laboratory certificates?

Yes. 4 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 Beatrice Keller Clinic, PC accept?

Health plans from Ambetter from Arizona Complete Health list Beatrice Keller Clinic, PC 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 Beatrice Keller Clinic, PC was last updated on June 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.