Sagebrush Dermatology PLLC
NPI 1174274435ActiveOrganization· Dermatology· Mesa, AZ
Dermatology in Mesa, Arizona, registered in NPPES in January 2022. The authorized official on file is Chao Li, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174274435 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2022 |
| Last updated in NPPES | Mar 3, 2022 |
| Certified by provider | Mar 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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