Az Dermatology LLC
NPI 1508035411ActiveOrganization· Dermatology· Mesa, AZ
Dermatology in Mesa, Arizona, registered in NPPES in February 2008. The authorized official on file is Jayshri Gamoth, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508035411 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2008 |
| Last updated in NPPES | Oct 2, 2020 |
| Certified by provider | Oct 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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