Individual provider Active NPI

Timothy P Salmon, MD

  • Dermatology Physician
  • Sun City, AZ
National Provider Identifier
1245280031
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20433 Issued in AZ
Practice address
13640 N 99TH Ave Ste 300
Sun City, AZ 85351-0001
Phone
(623) 875-2600
Fax
(623) 875-2621
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20433 AZ Primary

Addresses

Primary practice location

13640 N 99TH Ave Ste 300
Sun City, AZ 85351-0001

Mailing address

5201 E Paradise Dr
Scottsdale, AZ 85254-4746
Phone (602) 882-8568

Other identifiers 1

IdentifierTypeStateIssuer
108416MedicaidAZ

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
I20060313000251 AZ Practitioner - Dermatology 6305853656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pittsburgh School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

13640 N 99TH Ave
Suite 300
Sun City, AZ 85351-0001
Phone (623) 875-2600

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions820
Removal or shaving of skin growth12
Skin biopsy377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20433AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Arizona Medical Clinic LTD Current Accepting new patients
Spectrum Dermatology, PLLC Dermatology CurrentSince Feb 6, 2021 Accepting new patients
Pinnacle Dermatology, SC Dermatology CurrentSince Nov 1, 2022 Accepting new patients
Pinnacle Dermatology, SC Past Accepting new patients

Locations

2394 N Alma School Rd
Chandler, AZ 85224
Phone (480) 735-2118

2394 N Alma School Rd
Ste 2
Chandler, AZ 85224
Phone (480) 735-2118

5651 W Talavi Blvd
Ste 150
Glendale, AZ 85306
Phone (480) 889-2654

1818 E Baseline Rd
Bldg B
Mesa, AZ 85204
Phone (480) 981-1214

13760 N 93rd Ave
Ste 107
Peoria, AZ 85381
Phone (623) 876-3952

13640 N Plaza del Rio Blvd
Ste 230
Peoria, AZ 85381
Phone (623) 876-3810

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

4444 N 32nd St
Ste 110
Phoenix, AZ 85018
Phone (480) 750-2450

20950 N Tatum Blvd
Ste 250
Phoenix, AZ 85050
Phone (480) 607-0060

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9500 E Ironwood Square Dr
Ste 110
Scottsdale, AZ 85258
Phone (480) 565-1132

13640 N 99th Ave
Ste 300
Sun City, AZ 85351
Phone (623) 875-2600

14418 W Meeker Blvd
Ste 106
Sun City West, AZ 85375
Phone (623) 544-8400

Interoperability endpoints

  • Direct secure messaging: timothy.salmon@qdp.emadirect.md
  • Direct secure messaging: timothysalmon@pinnacleskin.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1245280031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 E PARADISE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544746",
            "telephone_number": "602-882-8568",
            "fax_number": "888-939-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 N 99TH AVE STE 300",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853510001",
            "telephone_number": "623-875-2600",
            "fax_number": "623-875-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "20433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108416",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.