Unknown Individual – Dermatology Physician, NPI 1326040965
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
130, South 63rd Street, Fountain East, Mesa, Maricopa County, Arizona, 85206, United States
BLDG 3 SUITE 114
MESA, AZ 852061620
Phone: (480) 981-2888
Fax: (480) 654-0599
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $191.
Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Organogenesis Inc. ($59).
Total Amount
$191
General + Research + Ownership
Payments
9
Total payment records
General Amount
$191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $59 |
| Janssen Biotech, Inc. | $40 |
| PFIZER INC. | $36 |
| GENZYME CORPORATION | $26 |
| Lilly USA, LLC | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85206)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ |
Reviews
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