BILLET DERMATOLOGY INC
NPI 1942199500
Dermatology - MOHS-Micrographic Surgery in Glendale, AZ

Q: What is Billet Dermatology Inc's NPI number?

The NPI number for Billet Dermatology Inc is 1942199500. It was assigned to this organization in the NPPES registry on June 30, 2025.

Q: What is Billet Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since June 30, 2025

5540 W GLENDALE AVE STE A103, GLENDALE, AZ 85301(833) 224-5538(833) 424-5538 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 8, 2026, Jun 30, 2025 (2 updates tracked since 2025).

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About Billet Dermatology Inc NPPES

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

BILLET DERMATOLOGY INC (NPI 1942199500) is a healthcare organization registered as a mohs-micrographic surgery in Glendale, Arizona and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Surprise and lists Zachary Coronado, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942199500

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameBILLET DERMATOLOGY INC

Location Address5540 W GLENDALE AVE STE A103Glendale, AZ 85301-2579

Mailing Address6710 N 47th AveGlendale, AZ 85301-4121 · (833) 224-5538 · Fax (833) 424-5538

Phone(833) 224-5538

Fax(833) 424-5538

Organization SubpartNo

Authorized OfficialZachary CoronadoAdministrator · (623) 521-9113

Enumeration DateJune 30, 2025

Last NPPES UpdateMay 8, 20262 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1942199500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedInternal MedicineTaxonomy 207R00000X

5540 W GLENDALE AVE STE A103, Glendale, AZ 85301

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Secondary Practice Location 1

Location 113945 W Grand Ave Ste 101ASurprise, AZ 85374-2437 · Phone (833) 224-5538 · Fax (877) 682-8388

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)

Billet Dermatology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Billet Dermatology Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Meyers, M.D.

Dermatology

NPI 1518928878

30012 N CAVE CREEK RD STE 104
Cave Creek, AZ 85331

(480) 714-5614

✔ PECOS✔ Accepts Medicare19 mi

Source: 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 Billet Dermatology Inc's NPI number?

The NPI number for Billet Dermatology Inc is 1942199500. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Billet Dermatology Inc located?

Billet Dermatology Inc is located at 5540 W Glendale Ave Ste A103, Glendale, AZ 85301. The listed phone number is (833) 224-5538.

What is Billet Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Billet Dermatology Inc enrolled in Medicare?

Yes. Billet Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Billet Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Billet Dermatology Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Billet Dermatology Inc was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.