Individual provider Active NPI

Sara Joy Risner-Rumohr, M.D.

  • Dermatology Physician
  • Flagstaff, AZ
National Provider Identifier
1922319334
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
49435 Issued in AZ
Practice address
1490 N Turquoise Dr
Flagstaff, AZ 86001-1383
Phone
(928) 774-5074
Fax
(928) 779-0884
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 49435 AZ
Dermatology Physician 207N00000X 49435 AZ Primary

Addresses

Primary practice location

1490 N Turquoise Dr
Flagstaff, AZ 86001-1383

Mailing address

PO Box 27277
Salt Lake City, UT 84127-0277
Phone (928) 774-5074

Other identifiers 1

IdentifierTypeStateIssuer
027285MedicaidAZ

Other names 1

  • Dr. Sara Joy Risner-Adler Former name

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
I20140714001974 AZ Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 3476795766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Dermatology Center PCGroup PAC ID 8527951052, 11 clinicians

Practice addresses (Care Compare)

1490 N Turquoise Dr
Flagstaff, AZ 86001-1383
Phone 9287445074242

Hospital & facility affiliations

  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

Merit-based Incentive Payment System (MIPS)

Final score
60.92 of 100Reported as individual
Quality
73.33
Promoting interoperability
0
Improvement activities
40
Cost
79.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision191
Removal of tissue1-10
Removal of skin lesions2360
Removal of skin cancer352
Removal or shaving of skin growth1-10
Skin biopsy731

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Dermatology Center PC Dermatology CurrentSince Jun 1, 2015 Accepting new patients

Locations

1490 N Turquoise Dr
Flagstaff, AZ 86001
Phone (928) 744-5074

95 Soldiers Pass Rd
Ste C2
Sedona, AZ 86336
Phone (928) 282-5865

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1922319334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27277",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270277",
            "telephone_number": "928-774-5074",
            "fax_number": "928-779-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N TURQUOISE DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011383",
            "telephone_number": "928-774-5074",
            "fax_number": "928-779-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISNER-RUMOHR",
        "first_name": "SARA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "49435",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "49435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027285",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RISNER-ADLER",
            "middle_name": "JOY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.