Individual provider Active NPI

Adriana K Holy, MD

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1750575643
Registry record updated Feb 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20919 Issued in AZ
Practice address
4530 E Shea Blvd Ste 101
Phoenix, AZ 85028-6066
Phone
(602) 867-7546
Fax
(608) 971-0065
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2026

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 20919 AZ Primary

Addresses

Primary practice location

4530 E Shea Blvd Ste 101
Phoenix, AZ 85028-6066

Mailing address

4530 E Shea Blvd Ste 101
Phoenix, AZ 85028-6066
Phone (602) 867-7546

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
I20050926000630 AZ Practitioner - Dermatology 3971537390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saguaro Dermatology Associates LLCGroup PAC ID 3577892561, 13 clinicians

Practice addresses (Care Compare)

4530 E Shea Blvd
Suite 101
Phoenix, AZ 85028-6066
Phone (623) 867-7546

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision88
Removal of skin lesions1760
Removal of skin cancer1-10
Removal or shaving of skin growth51
Skin biopsy434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20919AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saguaro Dermatology Associates LLC Dermatology CurrentSince Jan 1, 2026 Accepting new patients
The Center for Advanced Dermatology, P.C. Specialist CurrentSince May 1, 2001 Accepting new patients
Saguaro Dermatology Associates LLC Specialist PastSince May 1, 1998 Accepting new patients

Locations

2150 S Dobson Rd
Ste 3
Mesa, AZ 85202
Phone (480) 256-1489

2150 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 780-3092

4530 E Shea Blvd
Ste 101
Phoenix, AZ 85028
Phone (602) 867-7546

3400 E McDowell Rd
Phoenix, AZ 85008
Phone (480) 681-3300

4425 E Agave Rd
Ste 148
Phoenix, AZ 85044
Phone (480) 704-7546

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.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1750575643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286066",
            "telephone_number": "602-867-7546",
            "fax_number": "608-971-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286066",
            "telephone_number": "602-867-7546",
            "fax_number": "608-971-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLY",
        "first_name": "ADRIANA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "20919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.