Individual provider Active NPI

Caroline Carr, M.D.

  • Dermatology Physician
  • Peoria, AZ
National Provider Identifier
1356791461
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
61175 Issued in AZ
Practice address
20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9749
Phone
(623) 404-0155
Fax
(623) 404-0229
NPI assigned
Jun 20, 2016
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 61175 AZ Primary
MOHS-Micrographic Surgery Physician 207ND0101X 61175 AZ

Addresses

Primary practice location

20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9749

Mailing address

20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9749
Phone (623) 404-0155

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
I20201028003124 AZ Practitioner - Dermatology 3375836752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Dermatology of Arizona PLLCGroup PAC ID 7618471368, 2 clinicians

Practice addresses (Care Compare)

20542 N Lake Pleasant Rd
Suite 105
Peoria, AZ 85382-9749
Phone (775) 790-3667

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions373
Removal of skin cancer33
Removal or shaving of skin growth1-10
Skin biopsy133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61175AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Skin Institute PLLC Mohs-Micrographic Surgery CurrentSince Jun 30, 2020 Accepting new patients
Physicians Dermatology of Arizona PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients

Locations

20542 N Lake Pleasant Rd
Ste 105
Peoria, AZ 85382
Phone (602) 753-2700

10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077

Interoperability endpoints

  • Direct secure messaging: ccarr@regencydermatologyandplasticsurgery.emadirect.md

Organizations & group practices 2

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1356791461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20542 N LAKE PLEASANT RD STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829749",
            "telephone_number": "623-404-0155",
            "fax_number": "623-404-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20542 N LAKE PLEASANT RD STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829749",
            "telephone_number": "623-404-0155",
            "fax_number": "623-404-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CAROLINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "61175",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "61175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.