Az Dermatology LLC
NPI 1508035411 · Dermatology Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Az Dermatology LLC is a Dermatology Physician organization in Mesa, AZ (NPI 1508035411).
Provider details
- NPI number
- 1508035411
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jayshri Gamoth, President(480) 982-3337
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
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Additional practice locations (4)
- 1821 N Trekell RdSte 7Casa Grande, AZ 85122-1705Phone: (520) 374-2462Fax: (520) 374-2467
- 1343 N Alma School Rd # 135Chandler, AZ 85224-5941Phone: (480) 982-3337Fax: (480) 497-4580
- 6724 S Kings Ranch Rd # 104Gold Canyon, AZ 85118-2962Phone: (480) 982-3337Fax: (480) 497-4580
- 10503 W Thunderbird Blvd Ste 114Sun City, AZ 85351-3047Phone: (623) 466-8585
Registry dates
- Enumerated
- 2008-02-25
- Last updated
- 2020-10-02
- Certified
- 2020-10-02
Frequently asked questions
- What is Az Dermatology LLC's NPI number?
- Az Dermatology LLC's National Provider Identifier (NPI) is 1508035411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Az Dermatology LLC?
- Az Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Az Dermatology LLC located?
- Az Dermatology LLC's practice location on file with NPPES is 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616.
- What is Az Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Az Dermatology LLC is (480) 982-3337.
- Does Az Dermatology LLC accept Medicare?
- Az Dermatology LLC 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 Az Dermatology LLC?
- The authorized official listed on Az Dermatology LLC's NPPES record is Jayshri Gamoth, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Az Dermatology LLC's NPI active?
- Yes — Az Dermatology LLC's NPI (1508035411) is active in the NPPES registry as of the last update on 2020-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.