Dermatology and Plastic Surgery of Arizona LLC
NPI 1649611476 · MOHS-Micrographic Surgery Physician · Sierra Vista, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology and Plastic Surgery of Arizona LLC is a MOHS-Micrographic Surgery Physician organization in Sierra Vista, AZ (NPI 1649611476).
Provider details
- NPI number
- 1649611476
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jamie Moenster, Member(520) 458-1787
- License
- 006021 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 5101 N Oracle Rd # 121Tucson, AZ 85704-3713Phone: (520) 207-3100Fax: (520) 777-7634
Registry dates
- Enumerated
- 2013-07-09
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Frequently asked questions
- What is Dermatology and Plastic Surgery of Arizona LLC's NPI number?
- Dermatology and Plastic Surgery of Arizona LLC's National Provider Identifier (NPI) is 1649611476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology and Plastic Surgery of Arizona LLC?
- Dermatology and Plastic Surgery of Arizona LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology and Plastic Surgery of Arizona LLC located?
- Dermatology and Plastic Surgery of Arizona LLC's practice location on file with NPPES is 150 S Coronado Dr Ste 110, Sierra Vista, AZ 85635-6352.
- What is Dermatology and Plastic Surgery of Arizona LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology and Plastic Surgery of Arizona LLC is (520) 458-1787.
- Does Dermatology and Plastic Surgery of Arizona LLC accept Medicare?
- Dermatology and Plastic Surgery of Arizona 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 Dermatology and Plastic Surgery of Arizona LLC?
- The authorized official listed on Dermatology and Plastic Surgery of Arizona LLC's NPPES record is Jamie Moenster, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology and Plastic Surgery of Arizona LLC's NPI active?
- Yes — Dermatology and Plastic Surgery of Arizona LLC's NPI (1649611476) is active in the NPPES registry as of the last update on 2025-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.