Scottsdale Skin Boutique and Dermatology PLLC
NPI 1801498704 · Dermatology Physician · Scottsdale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scottsdale Skin Boutique and Dermatology PLLC is a Dermatology Physician organization in Scottsdale, AZ (NPI 1801498704).
Provider details
- NPI number
- 1801498704
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Genevieve Egnatios, Physician(480) 998-1400
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
5 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
- 2020-11-15
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Frequently asked questions
- What is Scottsdale Skin Boutique and Dermatology PLLC's NPI number?
- Scottsdale Skin Boutique and Dermatology PLLC's National Provider Identifier (NPI) is 1801498704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scottsdale Skin Boutique and Dermatology PLLC?
- Scottsdale Skin Boutique and Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Scottsdale Skin Boutique and Dermatology PLLC located?
- Scottsdale Skin Boutique and Dermatology PLLC's practice location on file with NPPES is 11333 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-5186.
- What is Scottsdale Skin Boutique and Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Scottsdale Skin Boutique and Dermatology PLLC is (310) 980-7532.
- Does Scottsdale Skin Boutique and Dermatology PLLC accept Medicare?
- Scottsdale Skin Boutique and 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 Scottsdale Skin Boutique and Dermatology PLLC?
- The authorized official listed on Scottsdale Skin Boutique and Dermatology PLLC's NPPES record is Genevieve Egnatios, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scottsdale Skin Boutique and Dermatology PLLC's NPI active?
- Yes — Scottsdale Skin Boutique and Dermatology PLLC's NPI (1801498704) is active in the NPPES registry as of the last update on 2021-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.