Individual provider Active NPI

Aleksi Hendricks, MD

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1265060776
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
73593 Issued in AZ
Practice address
5150 E Glenn St
Tucson, AZ 85712-1337
Phone
(520) 795-7729
Fax
(520) 795-4177
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 73593 AZ Primary

Addresses

Primary practice location

5150 E Glenn St
Tucson, AZ 85712-1337

Mailing address

7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255

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
I20240718003944 AZ Practitioner - Dermatology 4183160765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Arizona LLCGroup PAC ID 9830181361, 26 clinicians
Pima Dermatology PCGroup PAC ID 8527951326, 7 clinicians

Practice addresses (Care Compare)

1916 Paseo San Luis
Sierra Vista, AZ 85635-4614
Phone (520) 458-1505

5150 E Glenn St
Tucson, AZ 85712-1337
Phone (520) 795-7729

6648 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 886-8151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions64
Removal or shaving of skin growth1-10
Skin biopsy34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73593AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Dermatology PC CurrentSince Jan 1, 2026 Accepting new patients
Academy Dermatologists Group LLC Dermatology CurrentSince Jul 21, 2024 Accepting new patients
Epiphany Dermatology of Arizona, LLC Dermatology CurrentSince Jul 15, 2024 Accepting new patients

Locations

7767 W Deer Valley Rd
Ste 140
Peoria, AZ 85382
Phone (623) 487-3003

1916 Paseo San Luis
Sierra Vista, AZ 85635
Phone (520) 458-1505

6648 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 886-8151

5150 E Glenn St
Tucson, AZ 85712
Phone (520) 795-7729

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: aleksi.hendricks@epiphanyderm.emadirect.md

Organizations & group practices 3

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1265060776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-7729",
            "fax_number": "520-795-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "ALEKSI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "73593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.