Individual provider Active NPI

Lindsay Skye Ackerman, MD

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1609900299
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
37754 Issued in AZ
Practice address
1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722
Phone
(602) 354-5770
Fax
(602) 354-5607
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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 37754 AZ Primary

Addresses

Primary practice location

1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722

Mailing address

1331 N 7TH Street # 250
Phoenix, AZ 85006
Phone (602) 354-5770

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
I20080715000550 AZ Practitioner - Dermatology 5496856312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Skin Specialists LLCGroup PAC ID 9739079864, 51 clinicians

Practice addresses (Care Compare)

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

1331 N 7TH St
Suite 250
Phoenix, AZ 85006-2722
Phone (602) 354-5770

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

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) excision80
Removal of tissue1-10
Removal of skin lesions1198
Removal or shaving of skin growth20
Skin biopsy505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37754AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Specialists LLC Dermatology CurrentSince Dec 10, 2018 Accepting new patients
Southwest Skin Specialists, LLC CurrentSince Dec 10, 2018 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

1331 N 7th St
Ste 250
Phoenix, AZ 85006
Phone (602) 354-5770

1331 N 7th St
Ste 290
Phoenix, AZ 85006
Phone (602) 230-6744

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 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1609900299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH STREET # 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-354-5770",
            "fax_number": "602-354-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062722",
            "telephone_number": "602-354-5770",
            "fax_number": "602-354-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "LINDSAY",
        "middle_name": "SKYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "37754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.