AZ DERMATOLOGY, LLC
NPI 1770818130
Specialist in Yuma, AZ
About Az Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZ DERMATOLOGY, LLC (NPI 1770818130) is a healthcare organization registered as a specialist in Yuma, Arizona and active in the NPI registry since October 2009. The organization lists Jayshri Gamoth, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Az Dermatology, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 24Source: 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 1770818130. It was assigned to this organization in the NPPES registry on October 2, 2009.
Where is Az Dermatology, LLC located?
Az Dermatology, LLC is located at 1025 W 24th St Suite 5, Yuma, AZ 85364. The listed phone number is (520) 374-2462.
What is Az Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Az Dermatology, LLC accept?
Health plans from Cigna HealthCare of Arizona, 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 December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Az Dermatology, Llc · NPI 1770818130
Specialist organization in Yuma, Arizona. Organization record, active in the CMS NPPES registry since October 2, 2009.
## Identity
- **NPI:** 1770818130 (Entity type: Organization)
- **Enumerated:** October 2, 2009
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jayshri Gamoth, OWNER
## Practice location
- **Address:** 1025 W 24TH ST, SUITE 5, Yuma, AZ 85364-8366
- **Phone:** (520) 374-2462 · **Fax:** (520) 374-2467
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (12), Nurse Practitioner (9), Micrographic Dermatologic Surgery (MDS) (2); [full list](https://npiprofile.com/npi/1770818130/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1770818130) · Data from the CMS NPPES public registry.