Individual provider Active NPI

Seth M Goodman, DO

  • MOHS-Micrographic Surgery Physician
  • Sun City, AZ
National Provider Identifier
1750726253
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
006523 Issued in AZ
Practice address
15405 N 99TH Ave
Sun City, AZ 85351-1965
Phone
(623) 254-7375
Fax
(623) 259-6754
NPI assigned
May 10, 2013
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 006523 AZ
MOHS-Micrographic Surgery Physician 207ND0101X 006523 AZ Primary

Addresses

Primary practice location

15405 N 99TH Ave
Sun City, AZ 85351-1965

Mailing address

13830 W Camino del Sol Ste 240
Sun City West, AZ 85375-4746
Phone (623) 254-7375

Other practice location 1

13830 W Camino Del Sol Ste 240
Sun City West, AZ 85375-4746
Phone (623) 254-7375

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
I20150303001086 AZ Practitioner - DermatologyPractitioner - General Practice 3173849510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goodman Dermatology and Mohs Surgery PLLCGroup PAC ID 6406203686, 3 clinicians

Practice addresses (Care Compare)

13830 W Camino del Sol
Suite 240
Sun City West, AZ 85375-4746
Phone (623) 254-7375

15405 N 99TH Ave
Suite B
Sun City, AZ 85351-1963
Phone (623) 254-7375

490 W Bralliar Rd
Wickenburg, AZ 85390-2448
Phone (623) 254-7375

9151 W Thunderbird Rd
Suite G104
Peoria, AZ 85381-4906

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) excision14
Removal of skin lesions1217
Removal of skin cancer75
Removal or shaving of skin growth78
Skin biopsy140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006523AZMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Dermatology and Mohs Surgery PLLC Dermatology CurrentSince Oct 4, 2024 Accepting new patients
Center for Dermatology, PLLC PastSince Aug 1, 2019 Accepting new patients
Mark a Meyers Past Accepting new patients
Oculoplastic Eye Surgeons of Phoenix P.L.C. PastSince Aug 28, 2022 Accepting new patients

Locations

9151 W Thunderbird Rd
#G104
Peoria, AZ 85381
Phone (623) 522-8687

15405 N 99th Ave
Ste B
Sun City, AZ 85351
Phone (623) 254-7375

13830 W Camino del Sol
Ste 240
Sun City West, AZ 85375
Phone (623) 254-7375

490 W Bralliar Rd
Wickenburg, AZ 85390
Phone (623) 974-0522

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1750726253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL STE 240",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754746",
            "telephone_number": "623-254-7375",
            "fax_number": "623-259-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 N 99TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511965",
            "telephone_number": "623-254-7375",
            "fax_number": "623-259-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13830 W Camino Del Sol Ste 240",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754746",
            "country_code": "US",
            "telephone_number": "623-254-7375",
            "fax_number": "623-259-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "SETH",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "006523",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "006523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.