Individual provider Active NPI

Manuela Loredana Asztalos, M.D.

  • Dermatology Physician
  • Paradise Valley, AZ
National Provider Identifier
1609162049
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
69468 Issued in WI
Practice address
5206 N Scottsdale Rd
Paradise Valley, AZ 85253
Phone
(480) 771-1122
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 125.066962 IL
Dermatology Physician 207N00000X 69468 WI Primary

Addresses

Primary practice location

5206 N Scottsdale Rd
Paradise Valley, AZ 85253

Mailing address

14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485

Other identifiers 1

IdentifierTypeStateIssuer
100080550MedicaidWI

Other names 1

  • Manuela Moscaliuc Former name

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
I20210503002606 AZ Practitioner - Dermatology 2769788850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2011
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)

5206 N Scottsdale Rd
Paradise Valley, AZ 85253-7006
Phone (480) 771-1122

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as individual
Quality
77.31
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of skin lesions1102
Removal or shaving of skin growth123
Skin biopsy316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.066962ILMDDermatology Physician
69468WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, PLLC Dermatology CurrentSince Jun 1, 2021 Accepting new patients
Camelback Dermatology & Skin Surgery, Inc Dermatology PastSince Jul 1, 2003 Accepting new patients
Center for Dermatology, PLLC PastSince Jan 17, 2021 Accepting new patients
Valley Anesthesiology Consultants, Inc. PastSince Jun 1, 2021 Accepting new patients

Locations

4512 N 40th St
Phoenix, AZ 85018
Phone (602) 954-7546

5206 N Scottsdale Rd
Scottsdale, AZ 85253
Phone (480) 771-1122

14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501

14275 N 87th St
Ste 109110
Scottsdale, AZ 85260

Interoperability endpoints

  • Direct secure messaging: manuela.asztalos@cfd.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: manuela.asztalos@pdpaz.emadirect.md

Organizations & group practices 4

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1609162049",
    "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": "480-591-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 N SCOTTSDALE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "480-771-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASZTALOS",
        "first_name": "MANUELA",
        "middle_name": "LOREDANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125.066962",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "69468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080550",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUELA",
            "last_name": "MOSCALIUC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paradise Valley, AZ

Sources for this page

Verify at the official NPI Registry.