VALLEY DERMATOLOGY PLLC
NPI 1578360665
Dermatology in Glendale, AZ
About Valley Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY DERMATOLOGY PLLC (NPI 1578360665) is a healthcare organization registered as a dermatology in Glendale, Arizona and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Mesa and lists Kyle Sanniec, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valley Dermatology Pllc 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 Valley Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. 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.
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 Valley Dermatology PLLC's NPI number?
The NPI number for Valley Dermatology PLLC is 1578360665. It was assigned to this organization in the NPPES registry on February 26, 2025.
Where is Valley Dermatology PLLC located?
Valley Dermatology PLLC is located at 5702 W Glendale Ave, Glendale, AZ 85301. The listed phone number is (623) 937-8969.
What is Valley Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Valley Dermatology PLLC enrolled in Medicare?
Yes. Valley Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valley Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Valley Dermatology PLLC, in Nurse Practitioner and Plastic and Reconstructive Surgery. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Valley Dermatology PLLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.