Individual provider Active NPI

John R. Zade, M.D.

  • Dermatology Physician
  • Yuma, AZ
National Provider Identifier
1962931964
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
67129 Issued in AZ
Practice address
1079 W 23Rd St
Yuma, AZ 85364-8347
Phone
(928) 247-6825
Fax
(928) 247-6827
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MA
Dermatology Physician 207N00000X 67129 AZ Primary

Addresses

Primary practice location

1079 W 23Rd St
Yuma, AZ 85364-8347

Mailing address

2285 Corporate Cir Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

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
I20220906001178 AZ Practitioner - Dermatology 3274804398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

1079 W 23Rd St
Yuma, AZ 85364-8347
Phone (928) 247-6825

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
82.26
Promoting interoperability
83
Improvement activities
40
Cost
76.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision299
Removal of skin lesions1705
Removal of skin cancer434
Removal or shaving of skin growth1-10
Skin biopsy806

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Center PLLC Dermatology CurrentSince Aug 23, 2021 Accepting new patients
English Dermatology PC Dermatology CurrentSince Sep 30, 2022 Accepting new patients
Center for Dermatology, PLLC Dermatology CurrentSince Dec 27, 2024 Accepting new patients
Center for Dermatology, PLLC Past Accepting new patients

Locations

7900 Dallas St
Fort Smith, AR 72903
Phone (479) 242-6647

1500 Dodson Ave
Ste 270
Fort Smith, AR 72901
Phone (479) 709-7340

1729 N Trekell Rd
Ste 124
Casa Grande, AZ 85122
Phone (520) 251-9728

3011 S Lindsay Rd
Ste 111
Gilbert, AZ 85295
Phone (480) 507-5011

1242 E McKellips Rd
Ste 103
Mesa, AZ 85203
Phone (480) 535-0738

20950 N Tatum Blvd
Ste 350
Phoenix, AZ 85050
Phone (480) 502-6651

15215 S 48th St
Ste 120
Phoenix, AZ 85044
Phone (480) 428-0930

20940 N Tatum Blvd
Ste 200
Phoenix, AZ 85050
Phone (480) 502-5361

3104 E Indian School Rd
Ste 100
Phoenix, AZ 85016
Phone (602) 266-0266

37200 N Gantzel Rd
Ste 340
Queen Creek, AZ 85140
Phone (480) 636-1193

36359 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
Phone (480) 636-1193

14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501

1079 W 23rd St
Yuma, AZ 85364
Phone (928) 247-6825

1951 W 25th St
Ste B
Yuma, AZ 85364
Phone (928) 276-3049

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 1

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1962931964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 W 23RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648347",
            "telephone_number": "928-247-6825",
            "fax_number": "928-247-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADE",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "67129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.