Valley Dermatology PLLC
NPI 1578360665ActiveOrganization· Dermatology· Glendale, AZ
Dermatology in Glendale, Arizona, registered in NPPES in February 2025. The authorized official on file is Kyle Sanniec, MD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578360665 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2025 |
| Last updated in NPPES | Mar 3, 2025 |
| Certified by provider | Mar 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
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) |
|---|
Other Dermatology providers in Glendale
- 1619378098
- 1003082090
- 1225416456
- 1861293243
- 1295595767
- 1154023737
- 1912696550
- 1104810720
- 1417279068
- 1841988466