Individual provider Active NPI

Ali M Rkein, M.D.

  • Dermatology Physician
  • Gilbert, AZ
National Provider Identifier
1053631457
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
48945 Issued in AZ
Practice address
1688 E Boston St #101
Gilbert, AZ 85295-6220
Phone
(480) 855-0085
Fax
(480) 855-0086
NPI assigned
Jun 8, 2010
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 48945 AZ Primary
MOHS-Micrographic Surgery Physician 207ND0101X 48945 AZ

Addresses

Primary practice location

1688 E Boston St #101
Gilbert, AZ 85295-6220

Mailing address

1688 E Boston St #101
Gilbert, AZ 85295-6220
Phone (480) 855-0085

Other practice location 1

7205 E Baseline Rd
Mesa, AZ 85209-4905
Phone (480) 855-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030001957 AZ Practitioner - Dermatology 3476785106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Sky Dermatology PLLCGroup PAC ID 3971753054, 13 clinicians

Practice addresses (Care Compare)

1688 E Boston St
Suite 101
Gilbert, AZ 85295-6222
Phone (480) 855-0085

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
99.63
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision145
Removal of tissue236
Removal of skin lesions77
Removal of skin cancer1315
Removal of nail tissue1-10
Skin biopsy57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48945AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Laboratory PLLC CurrentSince Mar 12, 2024 Accepting new patients
Desert Sky Dermatology, PLLC Dermatology CurrentSince Sep 1, 2017 Accepting new patients

Locations

1688 E Boston St
Ste 101
Gilbert, AZ 85295
Phone (480) 855-0085

7205 E Baseline Rd
Mesa, AZ 85209
Phone (480) 855-0085

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1053631457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 E BOSTON ST #101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956220",
            "telephone_number": "480-855-0085",
            "fax_number": "480-855-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 E BOSTON ST #101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956220",
            "telephone_number": "480-855-0085",
            "fax_number": "480-855-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7205 E Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852094905",
            "country_code": "US",
            "telephone_number": "480-855-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RKEIN",
        "first_name": "ALI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "48945",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "48945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.