Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark R Pittelkow, MD

Individual provider Dermatology Physician · NPI 1164401675

Mark R Pittelkow, MD is a Dermatology in Scottsdale, Arizona. Qualified in 1979, 47 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Minnesota.

Years since qualifying
47
Licensed in
AZ, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259
Phone: (480) 301-8508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 18686 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence 25472 (MN)

Record details

NPI number1164401675
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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