Individual provider Active NPI

Courtney A. Cahill, PA-C

  • Medical Physician Assistant
  • Surprise, AZ
National Provider Identifier
1346453487
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3495 Issued in AZ
Practice address
14239 W. Bell Road
Suite 101
Surprise, AZ 85374
Phone
(623) 544-7755
Fax
(623) 544-8665
NPI assigned
May 7, 2007
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2553 CO
Medical Physician Assistant 363AM0700X 3495 AZ Primary

Addresses

Primary practice location

14239 W. Bell Road
Suite 101
Surprise, AZ 85374

Mailing address

14239 W. Bell Road
Suite 101
Surpirse, AZ 85374
Phone (623) 544-7755

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000051 AZ Practitioner - Physician Assistant 6204937600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Dermatology, Inc.Group PAC ID 4284527748, 6 clinicians

Practice addresses (Care Compare)

14239 W Bell Rd
Suite 101
Surprise, AZ 85374-2470
Phone (623) 544-7755

Merit-based Incentive Payment System (MIPS)

Final score
89.48 of 100Reported as group
Quality
95.73
Promoting interoperability
98
Improvement activities
40
Cost
70.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2553COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All Dermatology, Inc. CurrentSince Oct 1, 2011 Accepting new patients
All Dermatology, Inc. CurrentSince Aug 11, 2019 Accepting new patients

Locations

6320 W Union Hills Dr
Ste 210
Glendale, AZ 85308

4400 N 32nd St
Ste 250
Phoenix, AZ 85018
Phone (602) 277-7686

14239 W Bell Rd
Surprise, AZ 85374
Phone (623) 584-0800

14239 W Bell Rd
Ste 101
Surprise, AZ 85374
Phone (623) 544-7755

Interoperability endpoints

  • Direct secure messaging: ccahill@alldermatology.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1346453487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14239 W. BELL ROAD",
            "address_2": "SUITE 101",
            "city": "SURPIRSE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-544-7755",
            "fax_number": "623-544-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14239 W. BELL ROAD",
            "address_2": "SUITE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-544-7755",
            "fax_number": "623-544-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "COURTNEY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2553",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.