Active NPI
Matthew N Moritz, P.A.-C
- Physician Assistant
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9712
- Practice address
- 8405 N Pima Center Pkwy Ste 101
Scottsdale, AZ 85258-4669 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001356 | IA | |
| Medical Physician Assistant | 363AM0700X | 001356 | IA | |
| Surgical Physician Assistant | 363AS0400X | 9712 | AZ | |
| Physician Assistant | 363A00000X | 9712 | AZ | Primary |
| Surgical Physician Assistant | 363AS0400X | 001356 | IA |
Addresses
Primary practice location
8405 N Pima Center Pkwy Ste 101
Scottsdale, AZ 85258-4669
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35349 | Other | IA | WELLMARK |
| 0417246 | Medicaid | IA | |
| 9098947 | Medicaid | IA | |
| P00071605 | Other | IA | RR MEDICARE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20333 N 19TH Ave
Suite 230
Phoenix, AZ 85027-9901
Phone (602) 772-3800
21250 W Roosevelt St
Suite 106
Buckeye, AZ 85326-0313
Phone (602) 648-5444
40601 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7036
Phone (480) 964-2908
8405 N Pima Ctr Pkwy
Suite 101
Scottsdale, AZ 85258-4638
Phone (602) 493-9361
8405 N Pima Ctr Pkwy
Suite 204
Scottsdale, AZ 85258-4670
Phone (602) 648-5444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9712 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Modern Sports Medicine LLC | Current | Accepting new patients | |
| Modern Sports Medicine LLC | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969
525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303
1675 E Melrose St
Unit 101
Gilbert, AZ 85297
2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444
2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
8405 N Pima Center Pkwy
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1322
10450 E Riggs Rd
Ste 104
Sun Lakes, AZ 85248
Phone (612) 888-5224
Interoperability endpoints
- mmoritz84534@uihcdirect.org
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Sun Lakes, AZ
- NPI 1285295089
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Tucson, AZ
- NPI 1609662709
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1215982012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "480-418-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 N PIMA CENTER PKWY STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584669",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORITZ",
"first_name": "MATTHEW",
"middle_name": "N",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "001356",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "001356",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "9712",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9712",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IA",
"license": "001356",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "35349",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0417246",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9098947",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00071605",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.