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TUCSON DERMATOLOGY LTD
NPI 1992754824
Dermatology in Tucson, AZ

Active since May 08, 2006CLIA Certified · 2 labs
6640 E CARONDELET DR, TUCSON, AZ 85710(520) 886-4199(520) 886-3114 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tucson Dermatology Ltd NPPES

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

TUCSON DERMATOLOGY LTD (NPI 1992754824) is a healthcare organization registered as a dermatology in Tucson, Arizona and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists William David Jacoby, President Of Tucson Dermatology Ltd, as its authorized official.

NPPES Registry Identity

NPI1992754824
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTUCSON DERMATOLOGY LTD
Location Address6640 E CARONDELET DRTucson, AZ 85710-2119
Mailing Address6640 E Carondelet DrTucson, AZ 85710-2119 · (520) 886-4199 · Fax (520) 886-3114
Phone(520) 886-4199
Fax(520) 886-3114
Organization SubpartNo
Authorized OfficialWilliam David JacobyPresident Of Tucson Dermatology Ltd · (520) 886-4199
Enumeration DateMay 8, 2006
Last NPPES UpdateApril 7, 2008
✔ NPI 1992754824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in AZ · 8592✔ Licensed in AZ · 6653
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 6653 (AZ)
6640 E CARONDELET DR, Tucson, AZ 85710
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Other Identifiers 1

Medicare PINZWCHGSAZ

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tucson Dermatology Ltd, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Eric Adelman, D.O.
Dermatology
NPI 1194766444
6565 E CARONDELET DR STE 145
Tucson, AZ 85710
(520) 886-4199
✔ PECOS✔ Accepts Medicare0.1 mi
Joseph Machuzak, D.O.
Dermatology
NPI 1093959744
6565 E CARONDELET DR STE 145
Tucson, AZ 85710
(520) 886-4199
✔ PECOS✔ Accepts Medicare0.1 mi
Mindy Powell, MD
Dermatology
NPI 1083606305
6565 E CARONDELET DR STE 145
Tucson, AZ 85710
(520) 886-4199
✔ PECOS✔ Accepts Medicare0.1 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 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 of Compliance 03D2326501

Tucson Dermatology-Oro Valley · Oro Valley, AZ
Active · expires Jun 18, 2028
CLIA Number03D2326501
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorEric A. Adelman
Laboratory Phone(520) 886-4199
Laboratory LocationTucson Dermatology-Oro Valley1521 E Tangerine Rd Ste 205, Oro Valley, AZ 85755
CLIA data matches this NPI record on: 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 03D0532209

Tucson Dermatology · Tucson, AZ
Active · expires Mar 22, 2028
CLIA Number03D0532209
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorEric Adelman
Laboratory Phone(520) 886-4199
Laboratory LocationTucson Dermatology6565 E Carondelet Dr, Ste 145, Tucson, AZ 85710
CLIA data matches this NPI record on: 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 Tucson Dermatology Ltd's NPI number?

The NPI number for Tucson Dermatology Ltd is 1992754824. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Tucson Dermatology Ltd located?

Tucson Dermatology Ltd is located at 6640 E Carondelet Dr, Tucson, AZ 85710. The listed phone number is (520) 886-4199.

What is Tucson Dermatology Ltd's specialty?

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

Is Tucson Dermatology Ltd enrolled in Medicare?

Yes. Tucson Dermatology Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tucson Dermatology Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Tucson Dermatology Ltd. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tucson Dermatology Ltd 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 Tucson Dermatology Ltd accept?

Health plans from Ambetter from Arizona Complete Health list Tucson Dermatology Ltd 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 Tucson Dermatology Ltd was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.