Sagebrush Dermatology PLLC
NPI 1174274435 · Dermatology Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sagebrush Dermatology PLLC is a Dermatology Physician organization in Mesa, AZ (NPI 1174274435).
Provider details
- NPI number
- 1174274435
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chao Li, Owner(480) 681-3376
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
4 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
- 2022-01-18
- Last updated
- 2022-03-03
- Certified
- 2022-03-03
Frequently asked questions
- What is Sagebrush Dermatology PLLC's NPI number?
- Sagebrush Dermatology PLLC's National Provider Identifier (NPI) is 1174274435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sagebrush Dermatology PLLC?
- Sagebrush Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sagebrush Dermatology PLLC located?
- Sagebrush Dermatology PLLC's practice location on file with NPPES is 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772.
- What is Sagebrush Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sagebrush Dermatology PLLC is (480) 681-3376.
- Does Sagebrush Dermatology PLLC accept Medicare?
- Sagebrush Dermatology PLLC 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 Sagebrush Dermatology PLLC?
- The authorized official listed on Sagebrush Dermatology PLLC's NPPES record is Chao Li, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sagebrush Dermatology PLLC's NPI active?
- Yes — Sagebrush Dermatology PLLC's NPI (1174274435) is active in the NPPES registry as of the last update on 2022-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.