PHYSICIANS DERMATOLOGY OF ARIZONA PLLC
NPI 1942192596
Dermatology in Peoria, AZ

Q: What is Physicians Dermatology Of Arizona PLLC's specialty?

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

Active since July 17, 2025CLIA 03D2331272 · Certificate of Compliance

20542 N LAKE PLEASANT RD STE 105, PEORIA, AZ 85382(623) 404-0155(623) 404-0229 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, Nov 10, 2025 (2 updates tracked since 2025).

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About Physicians Dermatology Of Arizona Pllc NPPES

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

PHYSICIANS DERMATOLOGY OF ARIZONA PLLC (NPI 1942192596) is a healthcare organization registered as a dermatology in Peoria, Arizona and active in the NPI registry since July 2025. The organization holds a CLIA Certificate of Compliance certificate valid through June 25, 2028 and lists Caroline Carr, Owner, as its authorized official.

NPPES Registry Identity

NPI1942192596

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NamePHYSICIANS DERMATOLOGY OF ARIZONA PLLC

Location Address20542 N LAKE PLEASANT RD STE 105Peoria, AZ 85382-9749

Mailing Address20542 N Lake Pleasant Rd Ste 105Peoria, AZ 85382-9749 · (623) 404-0155 · Fax (623) 404-0229

Phone(623) 404-0155

Fax(623) 404-0229

Organization SubpartNo

Authorized OfficialCaroline CarrOwner · (775) 790-3667

Enumeration DateJuly 17, 2025

Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1942192596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

20542 N LAKE PLEASANT RD STE 105, Peoria, AZ 85382

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Physicians Dermatology Of Arizona Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Physicians Dermatology Of Arizona PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Caroline Carr, M.D.

Dermatology

NPI 1356791461

20542 N LAKE PLEASANT RD STE 105
Peoria, AZ 85382

(623) 404-0155

✔ PECOS✔ Accepts MedicareSame address

Drew Klug, M.D.

Dermatology

NPI 1861947038

20542 N LAKE PLEASANT RD STE 105
Peoria, AZ 85382

(623) 404-0155

✔ PECOSSame address

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 03D2331272

Physicians Dermatology Of Arizona PLLC · Peoria, AZ

Active · expires Jun 25, 2028

CLIA Number03D2331272

Laboratory TypePhysician Office

Certificate Effective DateJune 26, 2026

Certificate Expiration DateJune 25, 2028

Laboratory DirectorDrew Klug

Laboratory Phone(402) 740-3555

Laboratory LocationPhysicians Dermatology Of Arizona PLLC20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382

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 Physicians Dermatology Of Arizona PLLC's NPI number?

The NPI number for Physicians Dermatology Of Arizona PLLC is 1942192596. It was assigned to this organization in the NPPES registry on July 17, 2025.

Where is Physicians Dermatology Of Arizona PLLC located?

Physicians Dermatology Of Arizona PLLC is located at 20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382. The listed phone number is (623) 404-0155.

What is Physicians Dermatology Of Arizona PLLC's specialty?

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

Is Physicians Dermatology Of Arizona PLLC enrolled in Medicare?

Yes. Physicians Dermatology Of Arizona PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Dermatology Of Arizona PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Physicians Dermatology Of Arizona 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Physicians Dermatology Of Arizona PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2331272) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physicians Dermatology Of Arizona PLLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.