Active NPI
Specialists in Dermatology, PLLC
- Specialist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SPECIALISTS IN DERMATOLOGY, PLLC
- Practice address
- 2732 N Alvernon Way
Tucson, AZ 85712-1804 - Phone
- (520) 382-3330
- Fax
- (520) 382-3340
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mireille Claude Algazi, M.D.
- Title
- Co-Owner
- Phone
- (520) 382-3330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2732 N Alvernon Way
Tucson, AZ 85712-1804
Mailing address
2732 N Alvernon Way
Tucson, AZ 85712-1804
Phone (520) 382-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326001375 | AZ | Part B Supplier - Clinic/Group Practice | 7012809726 |
Receives reassigned benefits from 15 practitioners Practice locations: Tucson, AZ; Green Valley, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0951216 | Specialists in Dermatology PLLC | Compliance | Jun 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
2810 N Alvernon Way
Tucson, AZ 85712
2732 N Alvernon Way
Tucson, AZ 85712
Phone (520) 319-1100
1845 W Orange Grove Rd
Ste 131
Tucson, AZ 85704
Phone (520) 575-5766
Practitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073662946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121804",
"telephone_number": "520-382-3330",
"fax_number": "520-382-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2732 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121804",
"telephone_number": "520-382-3330",
"fax_number": "520-382-3340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALISTS IN DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALGAZI",
"authorized_official_first_name": "MIREILLE",
"authorized_official_middle_name": "CLAUDE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "520-382-3330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.