Individual provider Active NPI

Mark A Blair, M.D.

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1649226705
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
32353 Issued in AZ
Practice address
3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160
Phone
(602) 971-0950
Fax
(602) 992-4971
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 32353 AZ Primary

Addresses

Primary practice location

3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160

Mailing address

PO Box 650886
Dept. 41958
Dallas, TX 75265
Phone (805) 919-0094

Other identifiers 2

IdentifierTypeStateIssuer
P00191312OtherAZRAIL ROAD MEDICARE
32353OtherAZARIZONA LICENSE

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
I20040520001459 AZ Practitioner - Dermatology 4486645165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 1993
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

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1725
Removal of skin cancer862
Removal or shaving of skin growth1-10
Skin biopsy1211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32353AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Robert West, M.D., Inc Dermatology CurrentSince Mar 9, 2020 Accepting new patients
Center for Dermatology, PLLC Dermatology CurrentSince Sep 22, 2023 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Mar 9, 2020 Accepting new patients
Center for Dermatology, PLLC Past Accepting new patients
Brenda Latowsky M.D. P.L.C. Past Accepting new patients

Locations

3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749

12251 N 32nd St
Ste 12
Phoenix, AZ 85032
Phone (602) 951-0950

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

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1649226705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650886",
            "address_2": "DEPT. 41958",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "805-919-0094",
            "fax_number": "480-222-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 309",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322160",
            "telephone_number": "602-971-0950",
            "fax_number": "602-992-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "32353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00191312",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LICENSE",
            "identifier": "32353",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.