Active NPI
Drew Klug, M.D.
- Dermatology Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 61188
- Practice address
- 20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9749 - Phone
- (623) 404-0155
- Fax
- (623) 404-0229
- NPI assigned
- Aug 17, 2016
- Last updated
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 61188 | AZ | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 61188 | AZ |
Addresses
Primary practice location
20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9749
Mailing address
1 Hospital Dr # Ma111
Columbia, MO 65212-6767
Phone (573) 882-1767
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
- University of Nebraska College of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10240 W Indian School Rd
Suite 115
Phoenix, AZ 85037-5905
Phone (623) 243-9077
20542 N Lake Pleasant Rd
Suite 105
Peoria, AZ 85382-9749
Phone (775) 790-3667
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 83.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 586 |
| Removal of skin cancer | 38 |
| Skin biopsy | 151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61188 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regency Skin Institute PLLC | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Physicians Dermatology of Arizona PLLC | Dermatology | Current | Accepting new patients |
Locations
20542 N Lake Pleasant Rd
Ste 105
Peoria, AZ 85382
Phone (602) 753-2700
10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077
14725 W Mountain View Blvd
Surprise, AZ 85374
Phone (623) 243-9077
Organizations & group practices 2
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.
-
- Dermatology Physician
- Peoria, AZ
- NPI 1942192596
-
- MOHS-Micrographic Surgery Physician
- Surprise, AZ
- NPI 1932630563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1861947038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR # MA111",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652126767",
"telephone_number": "573-882-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20542 N LAKE PLEASANT RD STE 105",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853829749",
"telephone_number": "623-404-0155",
"fax_number": "623-404-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUG",
"first_name": "DREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-17",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "61188",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "AZ",
"license": "61188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.