Kevin Fuciarelli, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

29740 Issued in AZ

Practice address

23823 N 113TH PL
Scottsdale, AZ 85255-5637

Phone

(480) 513-7047

NPI assigned

Jan 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Michigan Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kevin a Fuciarelli MD PC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1023170750
  Medicare reassignment NPD Authorized official
• Arizona Associates in Dermatology and Cosmetic Surgery, LLC

  dba Arizona Dermatology Group

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1659467397
  NPD (past)
• Arizona Skin and Dermatology PC

  • Dermatology Physician
  • Sun City, AZ
  • NPI 1558767962
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1689859514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 N 113TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 N 113TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555637",
            "telephone_number": "480-513-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCIARELLI",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FS Tenant Pool II Trust (Pueblo Norte Senior Living Community)
• Fsix, LLC
• FSL Programs
• Liying Fu, M.D.
• Rachel Melissa Fuchs, LPC
• Amanda Leah Fuentes
• Siena Fuentevilla
• Norio Fukami, MD
• Michel R Fulkerson, P.T.
• Full Life Medical

• Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.