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

Samuel Devictor, MD

Individual provider Facial Plastic Surgery Physician · NPI 1619301884

Samuel Devictor, MD is a Plastic and Reconstructive Surgery in Scottsdale, Arizona. Graduated from Mercer University School of Medicine in 2017, 9 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Trained at
Mercer University School of Medicine
Licensed in
AZ
In the registry since
2013
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

8994 E Desert Cove Ave
Scottsdale, AZ 85260-7901
Phone: (480) 551-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8994 E Desert Cove Ave, Scottsdale, AZ 85260-7901 — (480) 551-2040

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 68902 (AZ)

Record details

NPI number1619301884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2013
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesDERMATOLOGY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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