Active NPI
Jason D Michaels, M.D.
- Dermatology Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 44434
- Practice address
- 14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696 - Phone
- (480) 905-7274
- Fax
- (480) 905-7274
- NPI assigned
- May 18, 2010
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 57833 | MN | |
| Dermatology Physician | 207N00000X | 44434 | AZ | Primary |
Addresses
Primary practice location
14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696
Mailing address
3800 Park Nicollet Blvd
Dermatology Department - 4TH Floor
St Louis Park, MN 55416-2527
Phone (952) 993-3123
Other practice location 1
3800 Park Nicollet Blvd
Dermatology Department - 4th Floor
St Louis Park, MN 55416-2527
Phone (952) 993-3123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 658351 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Nevada School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3530 S Val Vista Dr
Suite B109
Gilbert, AZ 85297-7318
Phone (480) 905-8485
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 82.26
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 76.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 251 |
| Removal of skin lesions | 3351 |
| Removal or shaving of skin growth | 66 |
| Skin biopsy | 1118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44434 | AZ | MD | Dermatology Physician |
| 57833 | MN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Fife Dermatology, P.C. | Current | Accepting new patients | |
| English Dermatology PC | Dermatology | Past | Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Past | Accepting new patients | |
| Scdi Surgery Center | Past | Accepting new patients | |
| Center for Dermatology, PLLC | Past | Accepting new patients |
Locations
1890 E Florence Blvd
Ste 4
Casa Grande, AZ 85122
Phone (520) 374-2960
1890 E Florence Blvd
Ste 3
Casa Grande, AZ 85122
3530 S Val Vista Dr
Ste 109
Gilbert, AZ 85297
3530 S Val Vista Dr
Ste B109
Gilbert, AZ 85297
3530 S Val Vista Dr
#B109B110
Gilbert, AZ 85297
6316 W Union Hills Dr
Ste 200
Glendale, AZ 85308
2777 E Camelback Rd
Ste 120
Phoenix, AZ 85016
Phone (480) 946-7939
5206 N Scottsdale Rd
Scottsdale, AZ 85253
Phone (480) 771-1122
14275 N 87th St
Ste 109110
Scottsdale, AZ 85260
14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501
6460 Medical Center St
Ste 350
Las Vegas, NV 89148
Phone (702) 255-6647
Interoperability endpoints
- jason.michaels@cfd.emadirect.md
- jason.michaels@pdpaz.emadirect.md
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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
- Scottsdale, AZ
- NPI 1194792416
-
- MOHS-Micrographic Surgery Physician
- Las Vegas, NV
- NPI 1740516699
-
- Medical Physician Assistant
- Scottsdale, AZ
- NPI 1174062673
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1245659432
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- Ambulatory Surgical Clinic/Center
- Carson City, NV
- NPI 1578749917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1255650073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 PARK NICOLLET BLVD",
"address_2": "DERMATOLOGY DEPARTMENT - 4TH FLOOR",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162527",
"telephone_number": "952-993-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14275 N 87TH ST STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603696",
"telephone_number": "480-905-7274",
"fax_number": "480-905-7274"
}
],
"practiceLocations": [
{
"address_1": "3800 Park Nicollet Blvd",
"address_2": "Dermatology Department - 4th Floor",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554162527",
"country_code": "US",
"telephone_number": "952-993-3123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAELS",
"first_name": "JASON",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "57833",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "44434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "658351",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.