Spectrum Dermatology, PLLC
NPI 1922392398 · Dermatology Physician · Scottsdale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spectrum Dermatology, PLLC is a Dermatology Physician organization in Scottsdale, AZ (NPI 1922392398).
Provider details
- NPI number
- 1922392398
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nancy Kim, Owner(480) 948-8400
- License
- 41487 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 312 N Alma School Rd Ste 5Chandler, AZ 85224-4354Phone: (480) 948-8400Fax: (480) 948-8401
- 4350 E Camelback Rd Ste A200Phoenix, AZ 85018-8354Phone: (480) 948-8400Fax: (480) 948-8401
- 20950 N Tatum Blvd Ste 250Phoenix, AZ 85050-4253Phone: (480) 948-8400Fax: (480) 948-8401
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2022-07-21
- Certified
- 2022-01-24
Frequently asked questions
- What is Spectrum Dermatology, PLLC's NPI number?
- Spectrum Dermatology, PLLC's National Provider Identifier (NPI) is 1922392398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spectrum Dermatology, PLLC?
- Spectrum Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Spectrum Dermatology, PLLC located?
- Spectrum Dermatology, PLLC's practice location on file with NPPES is 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582.
- What is Spectrum Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Spectrum Dermatology, PLLC is (480) 948-8400.
- Does Spectrum Dermatology, PLLC accept Medicare?
- Spectrum 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 Spectrum Dermatology, PLLC?
- The authorized official listed on Spectrum Dermatology, PLLC's NPPES record is Nancy Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spectrum Dermatology, PLLC's NPI active?
- Yes — Spectrum Dermatology, PLLC's NPI (1922392398) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.