Active NPI
Matthew Robert Flaherty, MD
- Neurocritical Care Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 50168
- Practice address
- 250 E Dunlap Ave
Phoenix, AZ 85020-2825 - Phone
- (480) 331-6721
- NPI assigned
- Jul 12, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME114563 | FL | |
| Neurology Physician | 2084N0400X | 50168 | AZ | |
| Neurocritical Care Physician | 2084A2900X | 50168 | AZ | Primary |
Addresses
Primary practice location
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Mailing address
111 E Dunlap Ave
Suite 1-279
Phoenix, AZ 85020-2807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14QW2 | Other | FL | BLUE CROSS BLUE SHIELD |
| 009047300 | Medicaid | FL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50168 | AZ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurocritical Care and Stroke of Arizona PLLC | Neurology | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Neurology | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients |
Locations
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
111 E Dunlap Ave
Ste 1279
Phoenix, AZ 85020
Phone (480) 331-6721
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
3198 N Windsong Dr
Prescott Vly, AZ 86314
Phone (480) 596-1110
7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
Organizations & group practices 4
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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Vascular Neurology Physician
- Phoenix, AZ
- NPI 1649561580
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Scottsdale, AZ
- NPI 1053881938
Neurology
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth John C. Lincoln Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1265797401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E DUNLAP AVE",
"address_2": "SUITE 1-279",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E DUNLAP AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202825",
"telephone_number": "480-331-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME114563",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "50168",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "AZ",
"license": "50168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14QW2",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009047300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.