Individual provider Active NPI

Ryan A. Stevens, M.D.

  • Dermatology Physician
  • Glendale, AZ
National Provider Identifier
1417279068
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
50626 Issued in AZ
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727001352 AZ Practitioner - Dermatology 2264672690 Reassigns benefits to 2 organizations

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
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

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 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) excision41
Removal of skin lesions2018
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy896

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50626AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, PLLC Dermatology CurrentSince Sep 1, 2019 Accepting new patients
Epiphany Dermatology of Arizona, LLC Dermatology CurrentSince Jul 20, 2015 Accepting new patients
Center for Dermatology, PLLC PastSince Sep 1, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.