Jayshri Gamoth, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

36353 Issued in AZ

Practice address

4540 E Baseline Rd Ste 109
Mesa, AZ 85206-4616

Phone

(480) 982-3337

Fax

(480) 497-4580

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

DermatologyAlso: Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Az Dermatology LLCGroup PAC ID 5698850543, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Az Dermatology LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1508035411
  Medicare reassignment Care Compare group NPD Authorized official
• Az Dermatology

  • Specialist
  • Maricopa, AZ
  • NPI 1962737965
  NPD Authorized official
• Rami E Geffner MD PA

  • Dermatology Physician
  • Toms River, NJ
  • NPI 1326098559
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1851340467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 N Trekell",
            "address_2": "Ste 7",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "85222",
            "country_code": "US",
            "telephone_number": "520-374-2462",
            "fax_number": "520-374-2467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10503 W Thunderbird Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513047",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMOTH",
        "first_name": "JAYSHRI",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "36353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DN5890",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alasia Galvin
• Austin Gamble
• Lisandra Gamez Garcia
• Michaela Gammage
• Julie Gammer, DNP PMHNP
• Lalith Kumar Gande, M.D.
• Mandy Marie Gandhi, PT
• Ann E Gandomi, RN
• Sohrab R. Gandomi, PH.D.
• Soha Garadat, M.SC. PHD

• Dermatology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.

Verify at the official NPI Registry.