NPIMap

Individual provider Active NPI

Brent Drew Sloten, DO

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1073585402
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3368 Issued in AZ
Practice address
4550 E Bell Rd BLDG 5
Phoenix, AZ 85032-9390
Phone
(480) 666-5568
Fax
(702) 297-6238
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 3368 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd BLDG 5
Phoenix, AZ 85032-9390

Mailing address

4613 E Desert Park PL
Paradise Valley, AZ 85253-2952
Phone (602) 909-1237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ND, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050420001267 AZ Practitioner - Dermatology 4486692878 Reassigns benefits to 1 organization
I20250110001390 ND Practitioner - Dermatology 4486692878 Reassigns benefits to 1 organization
I20260407001784 MN Practitioner - Dermatology 4486692878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Surgical Dermatology Group LLCGroup PAC ID 8224468418, 3 clinicians

Practice addresses (Care Compare)

4550 E Bell Rd
BLDG 5
Phoenix, AZ 85032-9390
Phone (480) 666-5568

Hospital & facility affiliations

  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions70
Skin biopsy33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jan 13, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 13, 2025 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Center for Dermatology, PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Phoenix Surgical Dermatology Group LLC Dermatology CurrentSince Oct 1, 2024 Accepting new patients
Allurerx,LLC Dermatology Past Accepting new patients

Locations

4550 E Bell Rd
Bldg 5
Phoenix, AZ 85032
Phone (480) 666-5568

4512 N 40th St
Phoenix, AZ 85018
Phone (602) 954-7546

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • Direct secure messaging: brent.sloten@qdp.emadirect.md
  • Direct secure messaging: brentsloten@pinnacleskin.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00235

Organizations & group practices 7

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

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1073585402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 E DESERT PARK PL",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532952",
            "telephone_number": "602-909-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD BLDG 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329390",
            "telephone_number": "480-666-5568",
            "fax_number": "702-297-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTEN",
        "first_name": "BRENT",
        "middle_name": "DREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "3368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.