Individual provider Active NPI

Arjun Bal, DO

  • Dermatology Physician
  • Surprise, AZ
National Provider Identifier
1154068864
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
012385 Issued in AZ
Practice address
11340 W Bell Rd Ste 127
Surprise, AZ 85378-9335
Phone
(623) 259-4372
NPI assigned
May 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 012385 AZ
Dermatology Physician 207N00000X 012385 AZ Primary

Addresses

Primary practice location

11340 W Bell Rd Ste 127
Surprise, AZ 85378-9335

Mailing address

6501 W Dailey St
Glendale, AZ 85306-3770
Phone (602) 377-6951

Other practice location 1

865 S Watson Rd Ste 212
Buckeye, AZ 85326-3470
Phone (602) 754-6075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220516001719 MI Order and Referring Only - DermatologyPractitioner - Dermatology 4880071703

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Arizona College of Osteopathic Medicine Mid Western University, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6501 W Dailey St
Glendale, AZ 85306-3770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151015560MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Skin Institute, PC Dermatology CurrentSince Sep 1, 2026 Accepting new patients

Locations

865 S Watson Rd
Ste 212
Buckeye, AZ 85326

11340 W Bell Rd
Ste 127
Surprise, AZ 85378
Phone (623) 225-7546

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1154068864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 W DAILEY ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063770",
            "telephone_number": "602-377-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W BELL RD STE 127",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789335",
            "telephone_number": "623-259-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 S Watson Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853263470",
            "country_code": "US",
            "telephone_number": "602-754-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAL",
        "first_name": "ARJUN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-14",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "012385",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "012385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.