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ALLIANCE DERMATOLOGY & MOHS CENTER, PC
NPI 1861813156
Specialist in Phoenix, AZ

Active since January 03, 2014CLIA 03D0705498 · Certificate of Compliance
4045 E BELL RD, SUITE 125, PHOENIX, AZ 85032(602) 971-0268(602) 971-1556 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alliance Dermatology & Mohs Center, Pc NPPES

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

ALLIANCE DERMATOLOGY & MOHS CENTER, PC (NPI 1861813156) is a healthcare organization registered as a specialist in Phoenix, Arizona and active in the NPI registry since January 2014. The organization holds a CLIA Certificate of Compliance certificate valid through November 11, 2027 and lists Sadra Jazayeri, Owner, as its authorized official.

NPPES Registry Identity

NPI1861813156
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALLIANCE DERMATOLOGY & MOHS CENTER, PC
Location Address4045 E BELL RD, SUITE 125Phoenix, AZ 85032-2238
Mailing Address4045 E Bell Rd, Suite 125Phoenix, AZ 85032-2238 · (602) 971-0268 · Fax (602) 971-1156
Phone(602) 971-0268
Fax(602) 971-1556
Organization SubpartNo
Authorized OfficialSadra JazayeriOwner · (602) 971-0268
Enumeration DateJanuary 3, 2014
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1861813156 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.
4045 E BELL RD, Phoenix, AZ 85032
Open in Google Maps ↗

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.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)

Alliance Dermatology & Mohs Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Alliance Dermatology & Mohs Center, 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 (8)

Sadra Jazayeri, MD
Dermatology
NPI 1700893864
4045 E BELL RD STE 125
Phoenix, AZ 85032
(602) 971-0268
✔ PECOS✔ Accepts MedicareSame address
Holly Nichols, NP
Nurse Practitioner
NPI 1780650036
4045 E BELL RD STE 125
Phoenix, AZ 85032
(602) 971-0268
✔ PECOS✔ Accepts MedicareSame address
Richard Bottiglione, MD
Dermatology
NPI 1083621148
4045 E BELL RD 125
Phoenix, AZ 85032
(602) 971-0268
✔ PECOS✔ Accepts MedicareSame address
Stephanie Pasley, NP
Nurse Practitioner
NPI 1881149219
4045 E BELL RD STE 125
Phoenix, AZ 85032
(602) 971-0268
✔ PECOS✔ Accepts MedicareSame address
Ross Stutman, MD
Plastic and Reconstructive Surgery
NPI 1528182557
9500 E IRONWOOD SQUARE DR STE 110
Scottsdale, AZ 85258
(480) 948-8400
✔ PECOS✔ Accepts Medicare8.0 mi
Debi Layton, MD
Dermatology
NPI 1871618132
7137 E RANCHO VISTA DR STE 121
Scottsdale, AZ 85251
(646) 919-1359
✔ PECOS✔ Accepts Medicare9.9 mi
Christopher Rex, M.D.
Dermatology
NPI 1083054571
127 E MAIN ST STE A
Payson, AZ 85541
(928) 951-0395
✔ PECOS✔ Accepts Medicare56 mi
Teresa Corrigan, DCNP, FNP-BC
Nurse Practitioner
NPI 1386841765
5820 LAMAR AVE STE 200
Mission, KS 66202
(913) 631-6330
✔ PECOS✔ Accepts Medicare1,034 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 2

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 03D0705498

Alliance Dermatology & Mohs Center · Phoenix, AZ
Active · expires Nov 11, 2027
CLIA Number03D0705498
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorSadra S. Jazayeri
Laboratory Phone(602) 971-0268
Laboratory LocationAlliance Dermatology & Mohs Center4045 E Bell Rd Ste #125, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D0940907

Alliance Dermatology & Mohs Center · Sun City West, AZ
Expired · Oct 18, 2026
CLIA Number03D0940907
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorSadra S. Jazayeri
Laboratory Phone(602) 971-0268
Laboratory LocationAlliance Dermatology & Mohs Center13847 W Meeker Blvd, Sun City West, AZ 85375
CLIA data matches this NPI record on: Name Phone
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 Alliance Dermatology & Mohs Center, PC's NPI number?

The NPI number for Alliance Dermatology & Mohs Center, PC is 1861813156. It was assigned to this organization in the NPPES registry on January 3, 2014.

Where is Alliance Dermatology & Mohs Center, PC located?

Alliance Dermatology & Mohs Center, PC is located at 4045 E Bell Rd Suite 125, Phoenix, AZ 85032. The listed phone number is (602) 971-0268.

What is Alliance Dermatology & Mohs Center, PC's specialty?

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

Is Alliance Dermatology & Mohs Center, PC enrolled in Medicare?

Yes. Alliance Dermatology & Mohs Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alliance Dermatology & Mohs Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Alliance Dermatology & Mohs Center, 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 (4), Nurse Practitioner (3) and Plastic and Reconstructive Surgery (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.

Does Alliance Dermatology & Mohs Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D0705498) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alliance Dermatology & Mohs Center, PC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Alliance Dermatology & Mohs Center, PC 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 Alliance Dermatology & Mohs Center, PC was last updated on January 10, 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.