Organization Active NPI

Desert Sage Dermatology

  • Primary Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1740886456
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DESERT SAGE DERMATOLOGY
Practice address
7301 E 2ND St Ste 310
Scottsdale, AZ 85251-5627
Phone
(480) 618-5976
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Megan E Ahmed, NP-CNPI 1134678634
Title
Owner
Phone
(330) 421-8389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

7301 E 2ND St Ste 310
Scottsdale, AZ 85251-5627

Mailing address

7301 E 2ND St Ste 310
Scottsdale, AZ 85251-5627

Other practice location 1

7960 E Thompson Peak Pkwy Ste 104
Scottsdale, AZ 85255-7406
Phone (877) 608-7516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210220000164 AZ Part B Supplier - Clinic/Group Practice 2769897925 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1740886456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515627",
            "telephone_number": "480-618-5976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7960 E Thompson Peak Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852557406",
            "country_code": "US",
            "telephone_number": "877-608-7516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT SAGE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-421-8389",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.