Individual provider Active NPI

Drew Klug, M.D.

  • Dermatology Physician
  • Peoria, AZ
National Provider Identifier
1861947038
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
61188 Issued in AZ
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013002430 AZ Practitioner - Dermatology 9830468628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Nebraska College of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Regency Skin Institute PLLCGroup PAC ID 5193097665, 14 clinicians
Physicians Dermatology of Arizona PLLCGroup PAC ID 7618471368, 2 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
83.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions586
Removal of skin cancer38
Skin biopsy151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61188AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Skin Institute PLLC Mohs-Micrographic Surgery CurrentSince Jun 30, 2020 Accepting new patients
Physicians Dermatology of Arizona PLLC Dermatology CurrentSince May 4, 2025 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.

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

Verify at the official NPI Registry.