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ARIZONA DERMATOLOGY
NPI 1467759274
Dermatology in Sun Lakes, AZ

Active since February 15, 2011CLIA 03D0716825 · Certificate of Compliance
10440 E RIGGS RD, SUITE 209, SUN LAKES, AZ 85248(480) 818-3314 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Arizona Dermatology NPPES

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

ARIZONA DERMATOLOGY (NPI 1467759274) is a healthcare organization registered as a dermatology in Sun Lakes, Arizona and active in the NPI registry since February 2011. The organization holds a CLIA Certificate of Compliance certificate valid through September 5, 2027 and lists Neil P Superfon, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1467759274
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD.
Location Address10440 E RIGGS RD, SUITE 209Sun Lakes, AZ 85248-7751
Mailing Address2224 W Northern Ave, Suite D-300Phoenix, AZ 85021-4928 · (602) 277-1449 · Fax (602) 277-9984
Phone(480) 818-3314
Organization SubpartYesParent: Arizona Skin And Laser Therapy Insitute, Ltd
Authorized OfficialNeil P SuperfonOwner/physician · (602) 277-2247
Enumeration DateFebruary 15, 2011
✔ NPI 1467759274 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.
10440 E RIGGS RD, Sun Lakes, AZ 85248
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Other Names 1

Doing Business AsArizona Dermatology

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)

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

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Arizona Dermatology, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology7
Nurse Practitioner5
Radiation Oncology1

Clinicians, nearest first (13)

Megan Davidson, DO
Dermatology
NPI 1982696811
6644 E BASELINE RD STE 102
Mesa, AZ 85206
(480) 844-0510
✔ PECOS✔ Accepts Medicare15 mi
Richard Levy, M.D., PH.D.
Radiation Oncology
NPI 1811245533
2926 N CIVIC CENTER PLZ
Scottsdale, AZ 85251
(480) 614-6300
✔ PECOS✔ Accepts Medicare18 mi
Tirsa Quartullo, CFNP
Nurse Practitioner
NPI 1467455477
3104 E INDIAN SCHOOL RD STE 100
Phoenix, AZ 85016
(480) 590-6600
✔ PECOS✔ Accepts Medicare21 mi
Michael Crandall, M.D.
Dermatology
NPI 1780863092
2224 W NORTHERN AVE STE D300
Phoenix, AZ 85021
(602) 277-1449
✔ PECOS✔ Accepts Medicare27 mi
John Ebner, D.O.
Dermatology
NPI 1295927788
2224 W NORTHERN AVE STE D300
Phoenix, AZ 85021
(602) 277-1449
✔ PECOS✔ Accepts Medicare27 mi
William Ko, M.D.
Dermatology
NPI 1841230976
2224 W NORTHERN AVE STE D300
Phoenix, AZ 85021
(602) 277-1449
✔ PECOS✔ Accepts Medicare27 mi
Peter Sigal, DO
Dermatology
NPI 1013457662
2224 W NORTHERN AVE STE D300
Phoenix, AZ 85021
(602) 996-3050
✔ PECOS✔ Accepts Medicare27 mi
Marlene Wright, FNP
Nurse Practitioner
NPI 1215977467
2224 W NORTHERN AVE STE D300
Phoenix, AZ 85021
(602) 277-1449
✔ PECOS27 mi
Glenn Zellman, MD
Dermatology
NPI 1285611582
2224 W NORTHERN AVE STE D300
Phoenix, AZ 85021
(602) 277-1449
✔ PECOS✔ Accepts Medicare27 mi
Abby Baker, APRN, NP-C
Nurse Practitioner
NPI 1184187676
2620 N 140TH AVE STE 103
Goodyear, AZ 85395
(623) 219-4777
✔ PECOS✔ Accepts Medicare34 mi
Debra Bergstrom, NP
Nurse Practitioner
NPI 1780670398
1401 10TH ST STE C
Alamogordo, NM 88310
(575) 437-4533
✔ PECOS✔ Accepts Medicare344 mi
Edward Galiczynski, DO
Dermatology
NPI 1255517041
11640 NORTHPARK DR STE 200
Wake Forest, NC 27587
(919) 436-4124
✔ PECOS✔ Accepts Medicare1,899 mi
Elizabeth Nafornita, FNP-C
Nurse Practitioner
NPI 1801439740
30 N UNION ST STE 105
Rochester, NY 14607
(212) 283-3000
✔ PECOS✔ Accepts Medicare1,971 mi

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 03D0716825

Arizona Dermatology-Northern · Phoenix, AZ
Active · expires Sep 5, 2027
CLIA Number03D0716825
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorWilliam T. Ko
Laboratory Phone(602) 277-1449
Laboratory LocationArizona Dermatology-Northern2224 W Northern Ave, #d300, Phoenix, AZ 85021
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.

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 Arizona Skin And Laser Therapy Institute, Ltd.'s NPI number?

The NPI number for Arizona Skin And Laser Therapy Institute, Ltd. is 1467759274. It was assigned to this organization in the NPPES registry on February 15, 2011. The provider is doing business as Arizona Dermatology.

Where is Arizona Skin And Laser Therapy Institute, Ltd. located?

Arizona Skin And Laser Therapy Institute, Ltd. is located at 10440 E Riggs Rd Suite 209, Sun Lakes, AZ 85248. The listed phone number is (480) 818-3314.

What is Arizona Skin And Laser Therapy Institute, Ltd.'s specialty?

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

Is Arizona Skin And Laser Therapy Institute, Ltd. enrolled in Medicare?

Yes. Arizona Skin And Laser Therapy Institute, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona Skin And Laser Therapy Institute, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Arizona Skin And Laser Therapy Institute, Ltd.. 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 Dermatology (7), Nurse Practitioner (5) and Radiation Oncology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arizona Skin And Laser Therapy Institute, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D0716825) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arizona Skin And Laser Therapy Institute, Ltd. was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.