Matthew Lynn McElroy, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8767 Issued in AZ

Practice address

19251 E Oasis Dr
Black Canyon City, AZ 85324-8878

Phone

(623) 374-0200

NPI assigned

Aug 24, 2019

Last updated

Oct 14, 2021By the provider in NPPES

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Canyon Community Health Center IncGroup PAC ID 6406900331, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Health Services Home health agency, Mesa, AZ, CCN 037226

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16465/brand/1/csg/1/fhir/r4
• Direct secure messaging: matthew.mcelroy.1@16465.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Black Canyon Community Health Center, Inc.

  • Family Medicine Physician
  • Black Canyon City, AZ
  • NPI 1679723217

  Single Specialty

  Medicare reassignment Care Compare group NPD (past)
• Black Canyon Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mayer, AZ
  • NPI 1124730627

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Apache Healthcare Services Inc.

  dba Sunrise Health Services

  • Home Health Agency
  • Gilbert, AZ
  • NPI 1760449409
  Care Compare affiliation

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1225685118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 E OASIS DR",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853248878",
            "telephone_number": "623-374-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 E OASIS DR",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853248878",
            "telephone_number": "623-374-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "MATTHEW",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kay Irving, D.O.
• Paw Kamwee, N.M.D
• Joshua Cheol-Hong Kim, D.O.
• Elli Klinger
• Kevin Carl Krause
• Gregg Wesley Potter, PT, MPT
• Preventative Dental Care PLLC (Canyon Dental)
• Radiant Dental LLC (Radiant Dental)
• Andja I Rawlings

• Family Medicine Physician in Black Canyon City, AZ
• Providers in Black Canyon City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.

Verify at the official NPI Registry.