1. Home
  2. Directory
  3. Arizona
  4. Surprise
  5. Dermatology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ARIZONA DERMATOLOGY SPECIALISTS, PLLC
NPI 1992061162
Dermatology in Surprise, AZ

Active since April 02, 2012CLIA Certified · 3 labs
14800 W. MOUNTAIN VIEW BLVD., STE. 160, SURPRISE, AZ 85374(623) 584-3376(623) 584-3375 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Sep 11, 2026 (2 updates tracked since 2026).

About Arizona Dermatology Specialists, Pllc NPPES

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

ARIZONA DERMATOLOGY SPECIALISTS, PLLC (NPI 1992061162) is a healthcare organization registered as a dermatology in Surprise, Arizona and active in the NPI registry since April 2012. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists James O Barlow, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1992061162
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARIZONA DERMATOLOGY SPECIALISTS, PLLC
Location Address14800 W. MOUNTAIN VIEW BLVD., STE. 160Surprise, AZ 85374-2700
Mailing AddressP.o. Box 9290Surprise, AZ 85374-9290 · (623) 584-3376 · Fax (623) 584-3375
Phone(623) 584-3376
Fax(623) 584-3375
Organization SubpartNo
Authorized OfficialJames O BarlowOwner/member · (602) 793-8411
Enumeration DateApril 2, 2012
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1992061162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AZ · 29708
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 · License 29708 (AZ)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
14800 W. MOUNTAIN VIEW BLVD., Surprise, AZ 85374
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113090 N 94th Dr Ste 101Peoria, AZ 85381-4257 · Phone (623) 584-3376
Location 213555 W McDowell Rd Ste 303Goodyear, AZ 85395-2629 · Phone (623) 584-3376

Other Identifiers 2

Medicaid721358AZ
OtherP17495542AZ · Az Pllc Registration

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Arizona Dermatology Specialists, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Anna Koester, FNP-BC
Nurse Practitioner
NPI 1306627989
14800 W MOUNTAIN VIEW BLVD STE 160
Surprise, AZ 85374
(623) 584-3376
✔ PECOS✔ Accepts MedicareSame address
Jillian Goldney, FNP-C, DCNP
Nurse Practitioner
NPI 1144733767
14800 W MOUNTAIN VIEW BLVD STE 160
Surprise, AZ 85374
(623) 584-3376
✔ PECOS✔ Accepts MedicareSame address
James Barlow, M.D.
Dermatology
NPI 1982683405
14800 W MOUNTAIN VIEW BLVD STE 160
Surprise, AZ 85374
(623) 584-3376
✔ PECOS✔ Accepts MedicareSame address
Jesse Olmedo, MD
Dermatology
NPI 1265490429
14800 W MOUNTAIN VIEW BLVD SUITE 160
Surprise, AZ 85374
(623) 584-3376
✔ PECOS✔ Accepts MedicareSame address
Drew Reese, D.O.
Dermatology
NPI 1750394227
14800 W MOUNTAIN VIEW BLVD STE 160
Surprise, AZ 85374
(623) 584-3376
✔ PECOS✔ Accepts MedicareSame address
Ryan Stevens, M.D.
Dermatology
NPI 1417279068
18699 N 67TH AVE STE 220
Glendale, AZ 85308
(480) 905-8485
✔ PECOS✔ Accepts Medicare10 mi
Thomas Lee
Dermatology
NPI 1396122727
2525 W CAREFREE HWY STE 144
Phoenix, AZ 85085
(623) 487-3003
✔ PECOS18 mi
Brigitte Sledge
Dermatology
NPI 1285139063
11333 N SCOTTSDALE RD STE 115
Scottsdale, AZ 85254
(480) 998-1400
✔ PECOS✔ Accepts Medicare27 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 3

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 03D2287602

Arizona Dermatology Specialists, PLLC · Goodyear, AZ
Active · expires Feb 1, 2028
CLIA Number03D2287602
Laboratory TypeHisto Lab
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorJames O. Barlow
Laboratory Phone(623) 584-3376
Laboratory LocationArizona Dermatology Specialists, PLLC13555 W Mcdowell Rd Ste 303, Goodyear, AZ 85395
CLIA data matches this NPI record on: Address 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 Compliance 03D2081955

Arizona Dermatology Specialists, PLLC · Peoria, AZ
Active · expires Nov 30, 2027
CLIA Number03D2081955
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorJames O. Barlow
Laboratory Phone(623) 584-3376
Laboratory LocationArizona Dermatology Specialists, PLLC13090 N 94th Drive, Ste 101, Peoria, AZ 85381
CLIA data matches this NPI record on: Address 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 Compliance 03D2045055

Arizona Dermatology Specialists, PLLC · Surprise, AZ
Active · expires Sep 19, 2027
CLIA Number03D2045055
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorJames O. Barlow
Laboratory Phone(623) 584-3376
Laboratory LocationArizona Dermatology Specialists, PLLC14800 W Mountain View Blvd, Ste 160, Surprise, AZ 85374
CLIA data matches this NPI record on: Address 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.

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 Arizona Dermatology Specialists, PLLC's NPI number?

The NPI number for Arizona Dermatology Specialists, PLLC is 1992061162. It was assigned to this organization in the NPPES registry on April 2, 2012.

Where is Arizona Dermatology Specialists, PLLC located?

Arizona Dermatology Specialists, PLLC is located at 14800 W. Mountain View Blvd. Ste. 160, Surprise, AZ 85374. The listed phone number is (623) 584-3376.

What is Arizona Dermatology Specialists, PLLC's specialty?

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

Is Arizona Dermatology Specialists, PLLC enrolled in Medicare?

Yes. Arizona Dermatology Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona Dermatology Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Arizona Dermatology Specialists, 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. The largest specialties are Dermatology (6) and Nurse Practitioner (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arizona Dermatology Specialists, PLLC hold CLIA laboratory certificates?

Yes. 3 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 Arizona Dermatology Specialists, PLLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.