Individual provider Active NPI

Colin R Trout, M.D.

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1821090739
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
29660 Issued in AZ
Practice address
6127 N la Cholla Blvd Ste 175
Tucson, AZ 85741-3747
Phone
(520) 308-5047
Fax
(520) 308-5274
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 29660 AZ Primary

Addresses

Primary practice location

6127 N la Cholla Blvd Ste 175
Tucson, AZ 85741-3747

Mailing address

PO Box 43100
Tucson, AZ 85733-3100
Phone (520) 308-5047

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
I20051014000188 AZ Practitioner - DermatologyPractitioner - General Practice 4789609751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paloma Dermatology LLCGroup PAC ID 3971982729, 2 clinicians

Practice addresses (Care Compare)

6127 N la Cholla Blvd
Suite 175
Tucson, AZ 85741-3747
Phone (520) 308-5047

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions2132
Removal or shaving of skin growth1-10
Skin biopsy470

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paloma Dermatology LLC Dermatology CurrentSince Jul 5, 2022 Accepting new patients

Locations

6127 N La Cholla Blvd
Ste 175
Tucson, AZ 85741
Phone (520) 308-5047

Interoperability endpoints

  • Direct secure messaging: ctrout@palomaderm.emadirect.md

Organizations & group practices 1

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1821090739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333100",
            "telephone_number": "520-308-5047",
            "fax_number": "520-308-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 N LA CHOLLA BLVD STE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413747",
            "telephone_number": "520-308-5047",
            "fax_number": "520-308-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "COLIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "29660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.