Tim Matatov, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

52217 Issued in AZ

Practice address

2801 E Camelback Rd Ste 100
Phoenix, AZ 85016-4363

Phone

(480) 576-4310

Fax

(480) 576-4311

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2022 through Mar 15, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Joseph Zakhary MD LLC

  • Plastic Surgery Physician
  • Phoenix, AZ
  • NPI 1942700984
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1104093301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E CAMELBACK RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164363",
            "telephone_number": "480-576-4310",
            "fax_number": "480-576-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E CAMELBACK RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164363",
            "telephone_number": "480-576-4310",
            "fax_number": "480-576-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 W Frye Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244950",
            "country_code": "US",
            "telephone_number": "480-576-4300",
            "fax_number": "480-576-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATATOV",
        "first_name": "TIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "52217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reyna Mata, MA, BCBA
• Xavier Mata, D.M.D., M.S.
• Matai LLC
• Miguel Angel Matamoros
• Maria Matas, FNP
• Adelina Matatova, PA-C
• Kaavya Reddy Matatova, MD
• Cynthia Matcha, LPC
• John W. Matchette, PA-C
• Daisy Coral Mateo Antuna

• Plastic and Reconstructive Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.