Active NPI
Arjun Bal, DO
- Dermatology Physician
- Surprise, AZ
National Provider Identifier
1154068864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 012385
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220516001719 | MI | Order and Referring Only - Dermatology | 4880071703 |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5151015560 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Skin Institute, PC | Dermatology | Current | 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.
-
- Dermatology Physician
- Surprise, AZ
- NPI 1992105126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.