Desert Dermatology, PLLC
NPI 1417673112 · Dermatology Physician · Oro Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Desert Dermatology, PLLC is a Dermatology Physician organization in Oro Valley, AZ (NPI 1417673112).
Provider details
- NPI number
- 1417673112
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Goedken, Owner/Physician(269) 370-0510
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
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
- 2022-10-13
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Desert Dermatology, PLLC's NPI number?
- Desert Dermatology, PLLC's National Provider Identifier (NPI) is 1417673112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desert Dermatology, PLLC?
- Desert Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Desert Dermatology, PLLC located?
- Desert Dermatology, PLLC's practice location on file with NPPES is 1521 E Tangerine Rd Ste 161, Oro Valley, AZ 85755-6217.
- What is Desert Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Desert Dermatology, PLLC is (520) 771-0288.
- Does Desert Dermatology, PLLC accept Medicare?
- Desert 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 Desert Dermatology, PLLC?
- The authorized official listed on Desert Dermatology, PLLC's NPPES record is Michelle Goedken, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desert Dermatology, PLLC's NPI active?
- Yes — Desert Dermatology, PLLC's NPI (1417673112) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.