Phoenix Skin II PC
NPI 1609078997 · Dermatology Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Skin II PC is a Dermatology Physician organization in Phoenix, AZ (NPI 1609078997).
Provider details
- NPI number
- 1609078997
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lee Laris, Physician(602) 222-9111
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
19 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
Other names (DBA / former)
- Doing business as
- Phoenix Skin Medical Surgical Group
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Frequently asked questions
- What is Phoenix Skin II PC's NPI number?
- Phoenix Skin II PC's National Provider Identifier (NPI) is 1609078997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Skin II PC?
- Phoenix Skin II PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Phoenix Skin II PC located?
- Phoenix Skin II PC's practice location on file with NPPES is 5056 N Central Ave, Phoenix, AZ 85012-1521.
- What is Phoenix Skin II PC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Skin II PC is (602) 222-9111.
- Does Phoenix Skin II PC accept Medicare?
- Phoenix Skin II PC 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 Phoenix Skin II PC?
- The authorized official listed on Phoenix Skin II PC's NPPES record is Lee Laris, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Skin II PC's NPI active?
- Yes — Phoenix Skin II PC's NPI (1609078997) is active in the NPPES registry as of the last update on 2023-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.