ADVANCED DERMATOLOGY OF ARIZONA, PC
NPI 1922484088
Dermatology in Scottsdale, AZ

Active since July 30, 2015
8817 E BELL RD STE 101, SCOTTSDALE, AZ 85260(602) 264-9044 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Dermatology Of Arizona, Pc NPPES

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

ADVANCED DERMATOLOGY OF ARIZONA, PC (NPI 1922484088) is a healthcare organization registered as a dermatology in Scottsdale, Arizona and active in the NPI registry since July 2015. The organization lists Linda Crandall, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1922484088
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF ARIZONA, PC
Location Address8817 E BELL RD STE 101Scottsdale, AZ 85260-1589
Mailing Address151 Southhall Ln Ste 300Maitland, FL 32751-7172 · (407) 875-2080
Organization SubpartNo
Authorized OfficialLinda CrandallCredentialing Coordinator · (970) 484-6303
Enumeration DateJuly 30, 2015
✔ NPI 1922484088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
8817 E BELL RD STE 101, Scottsdale, AZ 85260

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology Of Arizona, 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 Advanced Dermatology Of Arizona, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1851736763
8817 E BELL RD STE 101
Scottsdale, AZ 85260
(602) 264-9044
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1427160548
3302 N MILLER RD STE D
Scottsdale, AZ 85251
(480) 945-6356
✔ PECOS11 mi
Dermatology
NPI 1457857336
9250 N 3RD ST STE 3025
Phoenix, AZ 85020
(602) 944-4628
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1245226042
740 E HIGHLAND AVE STE 101
Phoenix, AZ 85014
(602) 264-9044
✔ PECOS✔ Accepts Medicare14 mi
Dermatology
NPI 1386808368
740 E HIGHLAND AVE STE 101
Phoenix, AZ 85014
(602) 264-9044
✔ PECOS✔ Accepts Medicare14 mi
Dermatology
NPI 1942662788
62 REDMOND ST
Jackson, WY 83001
(505) 514-8705
✔ PECOS✔ Accepts Medicare681 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 03D2132603

Advanced Dermatology Of Arizona · Scottsdale, AZ
Expired · Oct 20, 2026
CLIA Number03D2132603
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorYulia K. Khan
Laboratory Phone(602) 264-9044
Laboratory LocationAdvanced Dermatology Of Arizona8817 E Bell Rd, #101, Scottsdale, AZ 85260
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.

Certificate of Waiver 03D2196627

Advanced Dermatology Of Arizona · Phoenix, AZ
Expired · Oct 18, 2026
CLIA Number03D2196627
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorBill H. Halmi
Laboratory Phone(602) 264-9044
Laboratory LocationAdvanced Dermatology Of Arizona740 E Highland Ave, Ste 101, Phoenix, AZ 85014
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Dermatology Of Arizona, PC's NPI number?

The NPI number for Advanced Dermatology Of Arizona, PC is 1922484088. It was assigned to this organization in the NPPES registry on July 30, 2015.

Where is Advanced Dermatology Of Arizona, PC located?

Advanced Dermatology Of Arizona, PC is located at 8817 E Bell Rd Ste 101, Scottsdale, AZ 85260. The listed phone number is (602) 264-9044.

What is Advanced Dermatology Of Arizona, PC's specialty?

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

Is Advanced Dermatology Of Arizona, PC enrolled in Medicare?

Yes. Advanced Dermatology Of Arizona, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Of Arizona, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Dermatology Of Arizona, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Dermatology Of Arizona, PC accept?

Health plans from Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Advanced Dermatology Of Arizona, 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 Advanced Dermatology Of Arizona, PC was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.