1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Dermatology
  6. NPI Profile

AZ DERMATOLOGY LLC
NPI 1508035411
Dermatology in Mesa, AZ

Active since February 25, 2008
4540 E BASELINE RD STE 109, MESA, AZ 85206(480) 982-3337(520) 374-2467 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2020, Jun 5, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Az Dermatology Llc NPPES

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

AZ DERMATOLOGY LLC (NPI 1508035411) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since February 2008. The organization maintains 4 additional practice locations and lists Jayshri Gamoth, President, as its authorized official.

NPPES Registry Identity

NPI1508035411
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAZ DERMATOLOGY LLC
Location Address4540 E BASELINE RD STE 109Mesa, AZ 85206-4616
Mailing Address4540 E Baseline Rd Ste 109Mesa, AZ 85206-4616 · (480) 982-3337 · Fax (480) 497-4580
Phone(480) 982-3337
Fax(520) 374-2467
Organization SubpartNo
Authorized OfficialJayshri GamothPresident · (480) 982-3337
Enumeration DateFebruary 25, 2008
Last NPPES UpdateOctober 2, 20204 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1508035411 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.
4540 E BASELINE RD STE 109, Mesa, AZ 85206
Open in Google Maps ↗

Secondary Practice Locations 4

Location 110503 W Thunderbird Blvd Ste 114Sun City, AZ 85351-3047 · Phone (623) 466-8585
Location 21343 N Alma School Rd # 135Chandler, AZ 85224-5941 · Phone (480) 982-3337 · Fax (480) 497-4580
Location 36724 S Kings Ranch Rd # 104Gold Canyon, AZ 85118-2962 · Phone (480) 982-3337 · Fax (480) 497-4580
Location 41821 N Trekell Rd, Ste 7Casa Grande, AZ 85122-1705 · Phone (520) 374-2462 · Fax (520) 374-2467

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)

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

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Az Dermatology LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology12
Nurse Practitioner9
Micrographic Dermatologic Surgery (MDS)2
Family Practice1

Nearest to this location (20)

See all 24
Jayshri Gamoth, MD
Dermatology
NPI 1851340467
4540 E BASELINE RD STE 109
Mesa, AZ 85206
(480) 982-3337
✔ PECOS✔ Accepts MedicareSame address
Nohe Sebhatu, NP
Nurse Practitioner
NPI 1093175226
4540 E BASELINE RD STE 109
Mesa, AZ 85206
(480) 982-3337
✔ PECOS✔ Accepts MedicareSame address
Jenna Wald, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1003159872
4540 E BASELINE RD STE 109
Mesa, AZ 85206
(480) 982-3337
✔ PECOS✔ Accepts MedicareSame address
Suzanne Orourke, FNP
Nurse Practitioner
NPI 1346761772
2946 E BANNER GATEWAY DR.
Gilbert, AZ 85234
(480) 256-6444
✔ PECOS✔ Accepts Medicare0.9 mi
Tracy Clifford, NP-C
Nurse Practitioner
NPI 1770050288
130 S 63RD ST
Mesa, AZ 85206
(480) 981-2888
✔ PECOS✔ Accepts Medicare3.3 mi
J Ryan Jackson, DO
Micrographic Dermatologic Surgery (MDS)
NPI 1346633161
8405 E BASELINE RD STE 104
Mesa, AZ 85209
(480) 674-3295
✔ PECOS4.8 mi
Julio Hernandez, MD
Dermatology
NPI 1629071907
3011 S LINDSAY RD STE 111
Gilbert, AZ 85295
(480) 619-6450
✔ PECOS✔ Accepts Medicare6.2 mi
Kelley Lejcar, FNP-C
Nurse Practitioner
NPI 1871240689
10440 E OSAGE AVE
Mesa, AZ 85212
(740) 438-1251
✔ PECOS✔ Accepts Medicare7.5 mi
David Orbuch
Dermatology
NPI 1053843367
725 S DOBSON RD STE 200
Chandler, AZ 85224
(480) 899-7546
✔ PECOS✔ Accepts Medicare9.2 mi
Joseph Allgeier, DO
Family Practice
NPI 1144253071
3930 S ALMA SCHOOL RD STE 8
Chandler, AZ 85248
(480) 917-4815
✔ PECOS✔ Accepts Medicare12 mi
Helen Mcglashen, FNP-C
Nurse Practitioner
NPI 1568160653
4201 N 20TH ST UNIT 209
Phoenix, AZ 85016
(208) 315-4096
✔ PECOS✔ Accepts Medicare19 mi
Nichelle Madden, D.O.
Dermatology
NPI 1952793408
5056 N CENTRAL AVE
Phoenix, AZ 85012
(602) 222-9111
✔ PECOS✔ Accepts Medicare22 mi
Mark Meyers, M.D.
Dermatology
NPI 1518928878
30012 N CAVE CREEK RD STE 104
Cave Creek, AZ 85331
(480) 714-5614
✔ PECOS✔ Accepts Medicare30 mi
Jessica Aguilera, NP
Nurse Practitioner
NPI 1548112675
2957 N DESERT HORIZONS LN
Casa Grande, AZ 85122
(520) 840-1885
✔ PECOS✔ Accepts Medicare30 mi
Julie Jacobs, D.O.
Dermatology
NPI 1336341650
14155 N 83RD AVE STE 110
Peoria, AZ 85381
(623) 888-8145
✔ PECOS✔ Accepts Medicare33 mi
Norma Hernandez, FNP
Nurse Practitioner
NPI 1487345666
1863 EAST FLORENCE BLVD
Casa Grande, AZ 85122
(520) 836-3446
✔ PECOS✔ Accepts Medicare35 mi
Kathleen Marco
Nurse Practitioner
NPI 1063392603
22118 N LAS POSITAS DR
Sun City West, AZ 85375
(480) 636-6993
✔ PECOS✔ Accepts Medicare41 mi
Sheila Farhang, M.D.
Dermatology
NPI 1689087348
8580 N ORACLE RD
Oro Valley, AZ 85704
(954) 961-1200
✔ PECOS✔ Accepts Medicare83 mi
Paul Rehder, M.D.
Dermatology
NPI 1376563445
2811 N VENTURA RD
Oxnard, CA 93036
(805) 983-0343
✔ PECOS✔ Accepts Medicare433 mi
Jonathan Alvaro, APN
Nurse Practitioner
NPI 1811353089
6141 N CICERO AVE
Chicago, IL 60646
(773) 293-8787
✔ PECOS✔ Accepts Medicare1,432 mi
See all 24 clinicians

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 Az Dermatology LLC's NPI number?

The NPI number for Az Dermatology LLC is 1508035411. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Az Dermatology LLC located?

Az Dermatology LLC is located at 4540 E Baseline Rd Ste 109, Mesa, AZ 85206. The listed phone number is (480) 982-3337.

What is Az Dermatology LLC's specialty?

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

Is Az Dermatology LLC enrolled in Medicare?

Yes. Az Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Az Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 4 Medicare specialties reassign their Medicare billing to Az 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. The largest specialties are Dermatology (12), Nurse Practitioner (9) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Az Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Az 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 Az Dermatology LLC was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.