Individual provider Active NPI

Daniel Peterson Skinner Jr., MD

  • MOHS-Micrographic Surgery Physician
  • Mesa, AZ
National Provider Identifier
1083841225
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
48691 Issued in AZ
Practice address
2250 W Southern Ave Ste 102
Mesa, AZ 85202-4736
Phone
(480) 835-5532
Fax
(480) 962-0106
NPI assigned
Jun 15, 2009
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 32259 AL
MOHS-Micrographic Surgery Physician 207ND0101X 48691 AZ Primary
Procedural Dermatology Physician 207NS0135X 48691 AZ
Internal Medicine Physician 207R00000X R71509 AZ
Dermatology Physician 207N00000X 2010010429 MO

Addresses

Primary practice location

2250 W Southern Ave Ste 102
Mesa, AZ 85202-4736

Mailing address

2250 W Southern Ave Ste 102
Mesa, AZ 85202-4736
Phone (480) 835-5532

Other identifiers 1

IdentifierTypeStateIssuer
511-37085OtherALBLUE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dskinner@skincancerspecialists.emadirect.md Direct

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
I20140612001797 AZ Practitioner - Dermatology 5294978300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer Specialists LTDGroup PAC ID 4486883469, 4 clinicians
Skin Care Specialists PLLCGroup PAC ID 7315286044, 11 clinicians

Practice addresses (Care Compare)

2250 W Southern Ave
Suite 102
Mesa, AZ 85202-4736
Phone (480) 835-5532

6832 E Brown Rd
Mesa, AZ 85207-3755
Phone (480) 830-8333

Merit-based Incentive Payment System (MIPS)

Final score
96.53 of 100Reported as individual
Quality
91.33
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision136
Removal of skin lesions498
Removal of skin cancer1935
Skin biopsy233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010010429MOMDDermatology Physician
48691AZMDMOHS-Micrographic Surgery Physician
R71509AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Cliffs Surgery Center LLC CurrentSince Sep 1, 2022 Accepting new patients
Skin Care Specialists PLLC Dermatology CurrentSince Jan 26, 2019 Accepting new patients
Skin Cancer Specialists, LTD Mohs-Micrographic Surgery CurrentSince May 1, 2014 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

2250 W Southern Ave
Ste 102
Mesa, AZ 85202
Phone (480) 833-3698

2250 W Southern Ave
Ste 101
Mesa, AZ 85202
Phone (480) 835-5532

6832 E Brown Rd
Mesa, AZ 85207
Phone (480) 830-8333

1155 E Combs Rd
Ste 101
Queen Creek, AZ 85140
Phone (480) 830-8333

10752 N 89th Pl
Ste A111
Scottsdale, AZ 85260
Phone (480) 676-4543

2501 E Southern Ave
Ste 18
Tempe, AZ 85282
Phone (480) 830-8333

3350 S Price Rd
Tempe, AZ 85282
Phone (480) 376-2170

Interoperability endpoints

  • Direct secure messaging: dskinner@skincancerspecialists.emadirect.md

Organizations & group practices 4

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1083841225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W SOUTHERN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024736",
            "telephone_number": "480-835-5532",
            "fax_number": "480-962-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W SOUTHERN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024736",
            "telephone_number": "480-835-5532",
            "fax_number": "480-962-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "DANIEL",
        "middle_name": "PETERSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AL",
            "license": "32259",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "48691",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AZ",
            "license": "48691",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R71509",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2010010429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "511-37085",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dskinner@skincancerspecialists.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2050 W Southern Ave Ste 102",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852024702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.