Desert Valley Dermatology PLC
NPI 1124739560 · MOHS-Micrographic Surgery Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Desert Valley Dermatology PLC is a MOHS-Micrographic Surgery Physician organization in Phoenix, AZ (NPI 1124739560).
Provider details
- NPI number
- 1124739560
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Travis Lam, Member(918) 625-4103
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Frequently asked questions
- What is Desert Valley Dermatology PLC's NPI number?
- Desert Valley Dermatology PLC's National Provider Identifier (NPI) is 1124739560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desert Valley Dermatology PLC?
- Desert Valley Dermatology PLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Desert Valley Dermatology PLC located?
- Desert Valley Dermatology PLC's practice location on file with NPPES is 3815 E Bell Rd Ste 3100, Phoenix, AZ 85032-2156.
- What is Desert Valley Dermatology PLC's phone number?
- The practice phone number listed in the NPPES registry for Desert Valley Dermatology PLC is (918) 625-4103.
- Does Desert Valley Dermatology PLC accept Medicare?
- Desert Valley Dermatology PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Desert Valley Dermatology PLC?
- The authorized official listed on Desert Valley Dermatology PLC's NPPES record is Travis Lam, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desert Valley Dermatology PLC's NPI active?
- Yes — Desert Valley Dermatology PLC's NPI (1124739560) is active in the NPPES registry as of the last update on 2023-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.