PIMA DERMATOLOGY PC
NPI 1710051412
Specialist in Tucson, AZ

Active since November 17, 2006
5150 E GLENN ST, TUCSON, AZ 85712(520) 795-7729(520) 795-4177 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pima Dermatology Pc NPPES

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

PIMA DERMATOLOGY PC (NPI 1710051412) is a healthcare organization registered as a specialist in Tucson, Arizona and active in the NPI registry since November 2006. The organization lists Jean Soinski, Account Manager, as its authorized official.

NPPES Registry Identity

NPI1710051412
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePIMA DERMATOLOGY PC
Location Address5150 E GLENN STTucson, AZ 85712-1337
Mailing Address5150 E Glenn StTucson, AZ 85712-1337 · (520) 795-7729 · Fax (520) 795-4177
Fax(520) 795-4177
Organization SubpartNo
Authorized OfficialJean SoinskiAccount Manager · (520) 795-7729
Enumeration DateNovember 17, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1710051412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5150 E GLENN ST, Tucson, AZ 85712

Other Identifiers 1

Medicare PINZ70615AZ

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)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Pima Dermatology PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1265060776
5150 E GLENN ST
Tucson, AZ 85712
(520) 795-7729
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1023372950
5150 E. GLENN ST.
Tuscon, AZ 85712
(520) 795-7729
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922349729
5150 E GLENN ST
Tucson, AZ 85712
(520) 795-7729
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1356979199
5150 E GLENN ST
Tucson, AZ 85712
(520) 795-7729
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1881913846
5150 E GLENN ST
Tucson, AZ 85712
(520) 795-7729
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1720268188
5150 E. GLENN ST.
Tucson, AZ 85712
(520) 795-7729
✔ PECOS✔ Accepts Medicare0.1 mi

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 Pima Dermatology PC's NPI number?

The NPI number for Pima Dermatology PC is 1710051412. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Pima Dermatology PC located?

Pima Dermatology PC is located at 5150 E Glenn St, Tucson, AZ 85712. The listed phone number is (520) 795-7729.

What is Pima Dermatology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pima Dermatology PC enrolled in Medicare?

Yes. Pima Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pima Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Pima Dermatology PC. 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 (5) and Nurse Practitioner (1). Of these, 4 practice at this address and 6 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 Pima Dermatology PC was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.