Individual provider Active NPI

Aditi Thokala Chandra, DO

  • Dermatology Physician
  • Scottsdale, AZ
National Provider Identifier
1215517347
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
011630 Issued in AZ
Practice address
8415 N Pima Rd Ste 212
Scottsdale, AZ 85258-4485
Phone
(480) 434-6600
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 011630 AZ Primary

Addresses

Primary practice location

8415 N Pima Rd Ste 212
Scottsdale, AZ 85258-4485

Mailing address

8415 N Pima Rd Ste 212
Scottsdale, AZ 85258-4485
Phone (480) 434-6600

Other practice location 1

26224 N Tatum Blvd Ste 5
Phoenix, AZ 85050-7500
Phone (480) 882-7580

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
I20250613003040 AZ Practitioner - Dermatology 6800296401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Surgery Specialists of Arizona LLCGroup PAC ID 0547588238, 5 clinicians

Practice addresses (Care Compare)

8415 N Pima Rd
Suite 212
Scottsdale, AZ 85258-4485
Phone (480) 434-6600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions387
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011630AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Surgery Specialists of Arizona, LLC Dermatology CurrentSince Aug 1, 2025 Accepting new patients

Locations

8415 N Pima Rd
Ste 212
Scottsdale, AZ 85258
Phone (480) 434-6600

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1215517347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 212",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584485",
            "telephone_number": "480-434-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 212",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584485",
            "telephone_number": "480-434-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26224 N Tatum Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850507500",
            "country_code": "US",
            "telephone_number": "480-882-7580",
            "fax_number": "480-563-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "ADITI",
        "middle_name": "THOKALA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "011630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.