DESERT SKY DERMATOLOGY, PLLC
NPI 1871851691
Dermatology in Gilbert, AZ
About Desert Sky Dermatology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESERT SKY DERMATOLOGY, PLLC (NPI 1871851691) is a healthcare organization registered as a dermatology in Gilbert, Arizona and active in the NPI registry since April 2012. The organization holds 2 active CLIA laboratory certificates and lists Candice Berger, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Desert Sky Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Desert Sky Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 03D2163901
Desert Sky Dermatology PLLC · Gilbert, AZCertificate for Provider-Performed Microscopy Procedures (PPMP) 03D2262731
Desert Sky Dermatology - Mesa · Mesa, AZFrequently 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 Desert Sky Dermatology, PLLC's NPI number?
The NPI number for Desert Sky Dermatology, PLLC is 1871851691. It was assigned to this organization in the NPPES registry on April 30, 2012.
Where is Desert Sky Dermatology, PLLC located?
Desert Sky Dermatology, PLLC is located at 1688 E. Boston St. Suite #101, Gilbert, AZ 85295. The listed phone number is (480) 855-0085.
What is Desert Sky Dermatology, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Desert Sky Dermatology, PLLC enrolled in Medicare?
Yes. Desert Sky Dermatology, PLLC is registered in the Medicare PECOS enrollment system.
When is Desert Sky Dermatology, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Desert Sky Dermatology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Desert Sky 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Desert Sky Dermatology, PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Desert Sky Dermatology, PLLC was last updated on March 7, 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.
# Desert Sky Dermatology, Pllc · NPI 1871851691
Dermatology organization in Gilbert, Arizona. Organization record, active in the CMS NPPES registry since April 30, 2012.
## Identity
- **NPI:** 1871851691 (Entity type: Organization)
- **Enumerated:** April 30, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Candice Berger, PRACTICE MANAGER
## Practice location
- **Address:** 1688 E. BOSTON ST., SUITE #101, Gilbert, AZ 85295-6220
- **Phone:** (480) 855-0085 · **Fax:** (480) 855-0086
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2024
- **Other identifiers:** Medicaid 757618 (AZ)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871851691) · Data from the CMS NPPES public registry.