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

SUNRISE DERMATOLOGY
NPI 1750800033
Dermatology in Mesa, AZ

Active since September 18, 2017CLIA 03D2141563 · Certificate of Compliance
10238 E HAMPTON AVE STE 404, MESA, AZ 85209(928) 532-7546 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sunrise Dermatology NPPES

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

SUNRISE DERMATOLOGY (NPI 1750800033) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since September 2017. The organization holds a CLIA Certificate of Compliance certificate valid through March 12, 2027 and lists Jana Adams, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1750800033
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHW DERMATOLOGY PLLC
Location Address10238 E HAMPTON AVE STE 404Mesa, AZ 85209-3319
Mailing Address5300 S Sutter Dr Ste 1Show Low, AZ 85901-8055 · (480) 276-7955 · Fax (928) 532-7547
Phone(928) 532-7546
Organization SubpartNo
Authorized OfficialJana AdamsPractice Manager · (480) 276-7955
Enumeration DateSeptember 18, 2017
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1750800033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AZ · 006585
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 006585 (AZ)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 006585 (AZ)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 006585 (AZ)
10238 E HAMPTON AVE STE 404, Mesa, AZ 85209
Open in Google Maps ↗

Other Names 1

Doing Business AsSunrise 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 MULTIPLE 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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sunrise Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Luke Killpack, D.O.
Dermatology
NPI 1679955041
10238 E HAMPTON AVE STE 404
Mesa, AZ 85209
(480) 771-7546
✔ PECOS✔ Accepts MedicareSame address
Travis Hamblin, D.O.
Dermatology
NPI 1427344415
5300 S SUTTER DR STE 1
Show Low, AZ 85901
(928) 532-7546
✔ PECOS✔ Accepts Medicare107 mi
Adam Wray, DO
Dermatology
NPI 1902952930
1355 PARKWAY DR STE A
Blackfoot, ID 83221
(986) 275-0003
✔ PECOS✔ Accepts Medicare678 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 03D2141563

Hw Dermatology, PLLC Dba Sunrise Dermatology · Mesa, AZ
Active · expires Mar 12, 2027
CLIA Number03D2141563
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorLuke Killpack
Laboratory Phone(480) 771-7546
Laboratory LocationHw Dermatology, PLLC Dba Sunrise Dermatology10238 E Hampton Ave Ste 404, Mesa, AZ 85209
CLIA data matches this NPI record on: Address Name
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 Hw Dermatology PLLC's NPI number?

The NPI number for Hw Dermatology PLLC is 1750800033. It was assigned to this organization in the NPPES registry on September 18, 2017. The provider is doing business as Sunrise Dermatology.

Where is Hw Dermatology PLLC located?

Hw Dermatology PLLC is located at 10238 E Hampton Ave Ste 404, Mesa, AZ 85209. The listed phone number is (928) 532-7546.

What is Hw Dermatology PLLC's specialty?

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

Is Hw Dermatology PLLC enrolled in Medicare?

Yes. Hw Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hw Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Hw Dermatology PLLC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hw Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2141563) is associated with this NPI, valid through March 12, 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 Hw Dermatology PLLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.