Individual provider Active NPI

Drew Aubrey Reese, D.O.

  • Dermatology Physician
  • Surprise, AZ
National Provider Identifier
1750394227
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
008872 Issued in AZ
Practice address
14800 W Mountain View Blvd Ste 160
Surprise, AZ 85374-2700
Phone
(623) 584-3376
Fax
(623) 584-3375
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X O-1070 ID
Dermatology Physician 207N00000X DO150367 OR
Dermatology Physician 207N00000X OP60762580 WA
Dermatology Physician 207N00000X 008872 AZ Primary

Addresses

Primary practice location

14800 W Mountain View Blvd Ste 160
Surprise, AZ 85374-2700

Mailing address

14800 W Mountain View Blvd Ste 160
Surprise, AZ 85374-2700
Phone (623) 584-3376

Other practice location 1

13090 N 94th Dr Ste 101
Peoria, AZ 85381-4257
Phone (623) 584-3376

Other identifiers 1

IdentifierTypeStateIssuer
086313MedicaidAZ

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
I20210406000442 AZ Practitioner - Dermatology 1153463872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Skin Specialists LLCGroup PAC ID 9739079864, 51 clinicians

Practice addresses (Care Compare)

14537 W Indian School Rd
Suite 700
Goodyear, AZ 85395-9243
Phone (623) 935-0247

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) excision92
Removal of skin lesions3041
Removal of nail tissue1-10
Removal or shaving of skin growth30
Skin biopsy853

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008872AZMDDermatology Physician
O-1070IDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Specialists LLC Dermatology CurrentSince May 15, 2023 Accepting new patients
Arizona Dermatology Specialists, PLLC Dermatology CurrentSince May 1, 2021 Accepting new patients
Southwest Skin Specialists, LLC CurrentSince May 15, 2023 Accepting new patients
Rockwood Clinic PS Past Accepting new patients

Locations

14537 W Indian School Rd
#700
Goodyear, AZ 85395
Phone (623) 935-0247

13090 N 94th Dr
Ste 101
Peoria, AZ 85381
Phone (623) 584-3376

13943 N 91st Ave
Ste C101
Peoria, AZ 85381
Phone (623) 760-9449

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

14506 W Granite Valley Dr
Ste 205
Sun City West, AZ 85375
Phone (602) 584-2127

13985 W Grand Ave
Ste 200
Surprise, AZ 85374

14800 W Mountain View Blvd
Ste 160
Surprise, AZ 85374
Phone (623) 584-3376

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1750394227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13090 N 94th Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814257",
            "country_code": "US",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "DREW",
        "middle_name": "AUBREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "O-1070",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "DO150367",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "OP60762580",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "008872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086313",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.