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ARIZONA SKIN
NPI 1992105126
Dermatology in Surprise, AZ

Active since August 25, 2014CLIA Certified · 2 labs
11340 W BELL RD STE 127, SURPRISE, AZ 85378(623) 225-7546(623) 225-7548 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, Jul 28, 2020, Jan 12, 2016 (3 updates tracked since 2016).

About Arizona Skin NPPES

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

ARIZONA SKIN (NPI 1992105126) is a healthcare organization registered as a dermatology in Surprise, Arizona and active in the NPI registry since August 2014. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Buckeye, and lists Jay G Mehta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992105126
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARIZONA SKIN INSTITUTE, PC
Location Address11340 W BELL RD STE 127Surprise, AZ 85378-9335
Mailing Address11340 W Bell Rd Ste 127Surprise, AZ 85378-9335 · (623) 225-7546 · Fax (623) 225-7548
Phone(623) 225-7546
Fax(623) 225-7548
Organization SubpartNo
Authorized OfficialJay G MehtaCeo · (623) 225-7546
Enumeration DateAugust 25, 2014
Last NPPES UpdateJanuary 20, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2024
✔ NPI 1992105126 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.
11340 W BELL RD STE 127, Surprise, AZ 85378
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Other Names 1

Doing Business AsArizona Skin

Secondary Practice Location 1

Location 1825 S Watson Rd Ste 107Buckeye, AZ 85326-3435 · Phone (602) 207-5460 · Fax (623) 230-6814

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2089299

Arizona Skin Institute · Surprise, AZ
Active · expires Dec 23, 2026
CLIA Number03D2089299
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorJay G. Mehta
Laboratory Phone(623) 225-7546
Laboratory LocationArizona Skin Institute11340 W Bell Rd Ste 127, Surprise, AZ 85378
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 03D2221783

Arizona Skin · Buckeye, AZ
Active · expires Feb 28, 2028
CLIA Number03D2221783
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorNeil P. Superfon
Laboratory Phone(602) 754-6075
Laboratory LocationArizona Skin865 S Watson Rd Ste 212, Buckeye, AZ 85326
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARJUN BAL DO
Dermatology
11340 W BELL RD STE 127
SURPRISE, AZ 85378
Maricopa County (623) 259-4372
DR. JAY G MEHTA DO
Dermatology
11340 W BELL RD STE 127
SURPRISE, AZ 85378
Maricopa County (623) 225-7546

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 Skin Institute, PC's NPI number?

The NPI number for Arizona Skin Institute, PC is 1992105126. It was assigned to this organization in the NPPES registry on August 25, 2014. The provider is doing business as Arizona Skin.

Where is Arizona Skin Institute, PC located?

Arizona Skin Institute, PC is located at 11340 W Bell Rd Ste 127, Surprise, AZ 85378. The listed phone number is (623) 225-7546.

What is Arizona Skin Institute, PC's specialty?

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

Does Arizona Skin Institute, PC hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Arizona Skin Institute, PC accept?

Health plans from Ambetter from Arizona Complete Health list Arizona Skin Institute, 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 Arizona Skin Institute, PC was last updated on January 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.