Individual provider Active NPI

Patrick Michael Jedlowski, MD

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1457919276
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
70862 Issued in AZ
Practice address
1595 E River Rd Ste 151
Tucson, AZ 85718-5981
Phone
(520) 293-5757
Fax
(520) 293-7358
NPI assigned
Jun 5, 2019
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 70862 AZ Primary
MOHS-Micrographic Surgery Physician 207ND0101X 70862 AZ

Addresses

Primary practice location

1595 E River Rd Ste 151
Tucson, AZ 85718-5981

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1595 E River Rd Ste 201
Tucson, AZ 85718-5984
Phone (520) 293-5757

Other practice location 2

1775 W Saint Marys Rd Ste 116
Tucson, AZ 85745-2662
Phone (520) 293-5757

Other practice location 3

1595 E River Rd Ste 101
Tucson, AZ 85718-5982
Phone (520) 293-5757

Other practice location 4

5190 E Farness Dr Ste 110
Tucson, AZ 85712-2142
Phone (520) 293-5757

Other practice location 5

18855 S la Canada Dr
Sahuarita, AZ 85629-8004
Phone (520) 293-5757

Other practice location 6

2295 E Vistoso Commerce Loop
Oro Valley, AZ 85755-9182
Phone (520) 293-5757

Other practice location 7

8290 S Houghton Rd Ste 190
Tucson, AZ 85747-9726
Phone (520) 293-5757

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
I20250618002304 AZ Practitioner - Dermatology 7810387123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians
Sheftel and Associates Dermatology LLPGroup PAC ID 7911990304, 18 clinicians

Practice addresses (Care Compare)

1595 E River Rd
Suite 151
Tucson, AZ 85718-5981
Phone (520) 293-5757

1595 E River Rd
Suite 201
Tucson, AZ 85718-5984
Phone 52029357577141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision171
Removal of tissue1-10
Removal of skin lesions75
Removal of skin cancer788
Removal or shaving of skin growth1-10
Skin biopsy102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70862AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 16, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 16, 2025 Accepting new patients
Arizona Associates in Dermatology and Cosmetic Surgery, LLC Dermatology Current Accepting new patients
Sheftel & Associates Dermatology, LLP CurrentSince Aug 1, 2025 Accepting new patients

Locations

2295 E Vistoso Commerce Loop
Oro Valley, AZ 85755
Phone 5202935757 ext. 7143

2820 N Glassford Hill Rd
Ste 107
Prescott Vly, AZ 86314
Phone (928) 772-8553

18855 S La Canada Dr
Sahuarita, AZ 85629
Phone 52029357577141

18865 S La Canada Dr
Sahuarita, AZ 85629

1595 E River Rd
Ste 101
Tucson, AZ 85718
Phone (520) 299-1736

1595 E River Rd
Ste 151
Tucson, AZ 85718

1595 E River Rd
Ste 201
Tucson, AZ 85718
Phone 52029357577141

1775 W Saint Marys Rd
Ste 116
Tucson, AZ 85745
Phone (520) 624-2471

5190 E Farness Dr
Ste 110
Tucson, AZ 85712
Phone (520) 327-4442

8290 S Houghton Rd
Ste 190
Tucson, AZ 85747

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 5

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1457919276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 E RIVER RD STE 201",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185984",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 W SAINT MARYS RD STE 116",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452662",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 E RIVER RD STE 101",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185982",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 E FARNESS DR STE 110",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122142",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18855 S LA CANADA DR",
            "address_purpose": "LOCATION",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298004",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2295 E VISTOSO COMMERCE LOOP",
            "address_purpose": "LOCATION",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559182",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8290 S HOUGHTON RD STE 190",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479726",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEDLOWSKI",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "70862",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "70862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.