Individual provider Active NPI

Jason D Michaels, M.D.

  • Dermatology Physician
  • Scottsdale, AZ
National Provider Identifier
1255650073
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44434 Issued in AZ
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

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
658351MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120109000435 AZ Practitioner - Dermatology 2567638836 Reassigns benefits to 1 organization
I20150826002253 NV Practitioner - Dermatology 2567638836

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
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

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 100Reported as group
Quality
82.26
Promoting interoperability
83
Improvement activities
40
Cost
76.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision251
Removal of skin lesions3351
Removal or shaving of skin growth66
Skin biopsy1118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44434AZMDDermatology Physician
57833MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, PLLC Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Fife Dermatology, P.C. CurrentSince Dec 1, 2019 Accepting new patients
English Dermatology PC Dermatology Past Accepting new patients
Valley Anesthesiology Consultants, Inc. Past Accepting new patients
Scdi Surgery Center PastSince Sep 1, 2015 Accepting new patients
Center for Dermatology, PLLC PastSince Mar 22, 2020 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

  • Direct secure messaging: jason.michaels@cfd.emadirect.md
  • Direct secure messaging: jason.michaels@pdpaz.emadirect.md
  • FHIR API: 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.

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

Verify at the official NPI Registry.