Individual provider Active NPI

Adam Scott Norberg, MD

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1487048583
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
57854 Issued in AZ
Practice address
4400 N 32ND St Ste 140
Phoenix, AZ 85018-3964
Phone
(602) 494-1817
Fax
(602) 494-7103
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 57854 AZ Primary

Addresses

Primary practice location

4400 N 32ND St Ste 140
Phoenix, AZ 85018-3964

Mailing address

5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (602) 494-1817

Other practice location 1

10200 N 92nd St Ste 205
Scottsdale, AZ 85258-4536
Phone (602) 494-1817

Other practice location 2

11130 N Tatum Blvd Ste 100
Phoenix, AZ 85028-1630
Phone (602) 494-1817

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
I20190606001278 AZ Practitioner - Dermatology 3971836982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Skin Specialists LLCGroup PAC ID 9739079864, 51 clinicians

Practice addresses (Care Compare)

11130 N Tatum Blvd
Suite 100
Phoenix, AZ 85028-1630
Phone (602) 494-1817

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1862
Removal or shaving of skin growth30
Skin biopsy679

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Specialists LLC Dermatology CurrentSince Jun 15, 2019 Accepting new patients
Southwest Skin Specialists, LLC CurrentSince Jun 15, 2019 Accepting new patients

Locations

4400 N 32nd St
Ste 140
Phoenix, AZ 85018
Phone (602) 254-1429

11130 N Tatum Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 494-1817

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

10200 N 92nd St
Ste 205
Scottsdale, AZ 85258
Phone (602) 494-1817

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1487048583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "602-494-1817",
            "fax_number": "602-494-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183964",
            "telephone_number": "602-494-1817",
            "fax_number": "602-494-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 N 92nd St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584536",
            "country_code": "US",
            "telephone_number": "602-494-1817",
            "fax_number": "602-494-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11130 N Tatum Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850281630",
            "country_code": "US",
            "telephone_number": "602-494-1817",
            "fax_number": "602-494-7103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORBERG",
        "first_name": "ADAM",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "57854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.