AZ DERMATOLOGY
NPI 1962737965
Specialist in Maricopa, AZ
About Az Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZ DERMATOLOGY (NPI 1962737965) is a healthcare organization registered as a specialist in Maricopa, Arizona and active in the NPI registry since October 2009. The organization lists Jayshri Gamoth, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Az Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Az Dermatology, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 24Source: 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 Az Dermatology's NPI number?
The NPI number for Az Dermatology is 1962737965. It was assigned to this organization in the NPPES registry on October 8, 2009.
Where is Az Dermatology located?
Az Dermatology is located at 21300 N John Wayne Pkwy Suite 112, Maricopa, AZ 85139. The listed phone number is (520) 374-2462.
What is Az Dermatology's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Az Dermatology enrolled in Medicare?
Yes. Az Dermatology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Az Dermatology?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 4 Medicare specialties reassign their Medicare billing to Az Dermatology. 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 (12), Nurse Practitioner (9) and Micrographic Dermatologic Surgery (MDS) (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Az Dermatology was last updated on October 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Az Dermatology · NPI 1962737965
Specialist organization in Maricopa, Arizona. Organization record, active in the CMS NPPES registry since October 8, 2009.
## Identity
- **NPI:** 1962737965 (Entity type: Organization)
- **Enumerated:** October 8, 2009
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jayshri Gamoth, OWNER
## Practice location
- **Address:** 21300 N JOHN WAYNE PKWY, SUITE 112, Maricopa, AZ 85139-8979
- **Phone:** (520) 374-2462 · **Fax:** (520) 374-2467
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (12), Nurse Practitioner (9), Micrographic Dermatologic Surgery (MDS) (2); [full list](https://npiprofile.com/npi/1962737965/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1962737965) · Data from the CMS NPPES public registry.