Organization Active NPI

Arizona Institute of Dermatology Payson LLC

Doing business as Peak Dermatology

  • Dermatology Physician
  • Payson, AZ
National Provider Identifier
1093416893
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ARIZONA INSTITUTE OF DERMATOLOGY PAYSON LLC
Doing business as
Peak Dermatology
Peak Dermatology Aesthetics and Wellness
Practice address
127 E Main St Ste a
Payson, AZ 85541-5646
Phone
(928) 951-0395
Fax
(928) 492-9319
NPI assigned
Mar 17, 2023
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Christopher Ugochukwu Ugorji RexNPI 1083054571
Title
Owner/Provider
Phone
(928) 951-0395

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)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

127 E Main St Ste a
Payson, AZ 85541-5646

Mailing address

13921 W Grand Ave BLDG E
Surprise, AZ 85374-2439
Phone (928) 951-0395

Other practice location 1

13921 W Grand Ave Bldg E
Surprise, AZ 85374-2439
Phone (623) 212-1121

Other practice location 2

16838 E Palisades Blvd Ste 105
Fountain Hills, AZ 85268-3786
Phone (480) 291-6790

Other names 2

  • Peak Dermatology Doing business as
  • Peak Dermatology Aesthetics and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230424000563 AZ Part B Supplier - Clinic/Group Practice 5597120725 Receives reassigned benefits from 5 practitioners
Practice locations: Fountain Hills, AZ; Payson, AZ; Surprise, AZ
O20260424001796 AZ DME Supplier - Physician - Dermatology 5597120725 Practice locations: Payson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2279695Arizona Institute of Dermatology127 E Main St Ste a, Payson, AZ 85541ComplianceMay 11, 2027

National Provider Directory

National Provider Directory

Locations

16838 E Palisades Blvd
Ste 105
Fountain Hills, AZ 85268
Phone (480) 291-6790

16838 E Palisades Blvd
Ste A105
Fountain Hills, AZ 85268
Phone (480) 291-6790

127 E Main St
Ste A
Payson, AZ 85541
Phone (928) 238-1388

13921 W Grand Ave
Bldg E
Surprise, AZ 85374
Phone (623) 212-1121

13921 W Grand Ave
Ste 501
Surprise, AZ 85374
Phone (623) 214-2200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1093416893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 W GRAND AVE BLDG E",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742439",
            "telephone_number": "928-951-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST STE A",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415646",
            "telephone_number": "928-951-0395",
            "fax_number": "928-492-9319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13921 W Grand Ave Bldg E",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742439",
            "country_code": "US",
            "telephone_number": "623-212-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16838 E Palisades Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fountain Hills",
            "state": "AZ",
            "postal_code": "852683786",
            "country_code": "US",
            "telephone_number": "480-291-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA INSTITUTE OF DERMATOLOGY PAYSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "REX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "UGOCHUKWU UGORJI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "928-951-0395"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Dermatology Aesthetics and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.

Verify at the official NPI Registry.