Active NPI
Adriana K Holy, MD
- Dermatology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20919
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 88 |
| Removal of skin lesions | 1760 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 51 |
| Skin biopsy | 434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20919 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saguaro Dermatology Associates LLC | Dermatology | Current | Accepting new patients |
| The Center for Advanced Dermatology, P.C. | Specialist | Current | Accepting new patients |
| Saguaro Dermatology Associates LLC | Specialist | Past | 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.
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1114485646
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1750470175
Specialist
-
- Specialist
- Mesa, AZ
- NPI 1588797179
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; 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.