Prescott Medical and Dermatology Group
NPI 1841929908 · Dermatology Physician · Prescott, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prescott Medical and Dermatology Group is a Dermatology Physician organization in Prescott, AZ (NPI 1841929908).
Provider details
- NPI number
- 1841929908
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Burt Faibisoff, Physician/Owner(602) 476-4074
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-06-06
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is Prescott Medical and Dermatology Group's NPI number?
- Prescott Medical and Dermatology Group's National Provider Identifier (NPI) is 1841929908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prescott Medical and Dermatology Group?
- Prescott Medical and Dermatology Group is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Prescott Medical and Dermatology Group located?
- Prescott Medical and Dermatology Group's practice location on file with NPPES is 810 Ainsworth Dr, Prescott, AZ 86301-1612.
- What is Prescott Medical and Dermatology Group's phone number?
- The practice phone number listed in the NPPES registry for Prescott Medical and Dermatology Group is (928) 515-1155.
- Does Prescott Medical and Dermatology Group accept Medicare?
- Prescott Medical and Dermatology Group 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 Prescott Medical and Dermatology Group?
- The authorized official listed on Prescott Medical and Dermatology Group's NPPES record is Burt Faibisoff, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prescott Medical and Dermatology Group's NPI active?
- Yes — Prescott Medical and Dermatology Group's NPI (1841929908) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.