Active NPI
Ryan A. Stevens, M.D.
- Dermatology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 50626
- Practice address
- 18699 N 67TH Ave Ste 220
Glendale, AZ 85308 - Phone
- (480) 905-8485
- Fax
- (480) 905-7274
- NPI assigned
- Feb 24, 2010
- Last updated
- Sep 20, 2019
- 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 | 50626 | AZ | Primary |
| Dermatopathology Physician | 207ND0900X | 50626 | AZ |
Addresses
Primary practice location
18699 N 67TH Ave Ste 220
Glendale, AZ 85308
Mailing address
14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485
Other practice location 1
1390 S Potomac St
#124
Aurora, CO 80012-6165
Phone (303) 368-8611
Other practice location 2
14301 N 87th St Ste 109
Scottsdale, AZ 85260-3687
Phone (480) 905-8485
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Arizona College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14275 N 87TH St
Suite 110
Scottsdale, AZ 85260-3696
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 | 41 |
| Removal of skin lesions | 2018 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 896 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50626 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Epiphany Dermatology of Arizona, LLC | Dermatology | Current | Accepting new patients |
| Center for Dermatology, PLLC | Past | Accepting new patients | |
| Southwest Skin Specialists LLC | Dermatology | Past | Accepting new patients |
| English Dermatology PC | Dermatology | Past | Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Past | Accepting new patients | |
| White Memorial Medical Group, Inc. | Past | Accepting new patients |
Locations
10750 W McDowell Rd
Ste D400
Avondale, AZ 85392
Phone (623) 487-3003
18699 N 67th Ave
Ste 220
Glendale, AZ 85308
Phone 4809058485113
6316 W Union Hills Dr
Ste 200
Glendale, AZ 85308
6320 W Union Hills Dr
Ste 200
Glendale, AZ 85308
Phone (480) 619-4097
6320 W Union Hills Dr
Ste A200
Glendale, AZ 85308
7767 W Deer Valley Rd
Ste 140
Peoria, AZ 85382
Phone (623) 487-3003
2525 W Carefree Hwy
Ste 144
Phoenix, AZ 85085
Phone (623) 487-3003
2777 E Camelback Rd
Ste 120
Phoenix, AZ 85016
Phone (480) 946-7939
14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501
5206 N Scottsdale Rd
Scottsdale, AZ 85253
Phone (480) 771-1122
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
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- NPI 1174062673
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- NPI 1245659432
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- NPI 1174521926
-
- Anesthesiology Physician
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- NPI 1285660704
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1417279068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 N 87TH ST STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603696",
"telephone_number": "480-905-8485",
"fax_number": "480-905-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18699 N 67TH AVE STE 220",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "480-905-8485",
"fax_number": "480-905-7274"
}
],
"practiceLocations": [
{
"address_1": "1390 S Potomac St",
"address_2": "#124",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800126165",
"country_code": "US",
"telephone_number": "303-368-8611",
"fax_number": "303-368-9791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14301 N 87th St Ste 109",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852603687",
"country_code": "US",
"telephone_number": "480-905-8485",
"fax_number": "480-905-7274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "RYAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-24",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "50626",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AZ",
"license": "50626",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.