Individual provider Active NPI

Matthew A Croppi, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1336668482
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009084 Issued in CO
Practice address
4602 E University Dr Ste 150
Phoenix, AZ 85034-7423
Phone
(480) 493-3444
NPI assigned
Sep 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0009084 CO Primary
Physician Assistant 363A00000X 50.007941RX OH
Physician Assistant 363A00000X 5592 OK
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA60797608 WA

Addresses

Primary practice location

4602 E University Dr Ste 150
Phoenix, AZ 85034-7423

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 685-2705

Other practice location 1

6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819
Phone (253) 271-9720

Other practice location 2

400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-3585

Other practice location 3

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-1900

Other practice location 4

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633

Other identifiers 1

IdentifierTypeStateIssuer
2108964MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH, CO, AZ, NV, TX, OK7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20190102001736 WA Practitioner - Physician Assistant 7315282837 Reassigns benefits to 4 organizations
I20240723002217 OH Practitioner - Physician Assistant 7315282837
I20250319002384 CO Practitioner - Physician Assistant 7315282837 Reassigns benefits to 1 organization
I20250514001213 AZ Practitioner - Physician Assistant 7315282837 Reassigns benefits to 1 organization
I20250610003929 NV Practitioner - Physician Assistant 7315282837
I20250630004385 TX Practitioner - Physician Assistant 7315282837
I20250828000181 OK Practitioner - Physician Assistant 7315282837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3825 N Lafayette St
Denver, CO 80205-3316

4227 S 247TH CT
Kent, WA 98032-4153

6600 S Yale Ave
Suite 1200
Tulsa, OK 74136-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5592OKMDDentist
PA.0009084COMDPhysician Assistant
50.007941RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Aug 5, 2025 Accepting new patients
Dispatchhealth-Arizona CurrentSince May 2, 2025 Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Multicare Health System CurrentSince Oct 1, 2018 Accepting new patients
Multicare Health System CurrentSince Oct 1, 2018 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Jul 1, 2021 Accepting new patients
Warren Clinic Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: matthew.croppi.1@13869.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1336668482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-685-2705",
            "fax_number": "614-685-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 E UNIVERSITY DR STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347423",
            "telephone_number": "480-493-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6240 Tacoma Mall Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984096819",
            "country_code": "US",
            "telephone_number": "253-271-9720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S 43rd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555714",
            "country_code": "US",
            "telephone_number": "425-690-3585",
            "fax_number": "425-690-9585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361902",
            "country_code": "US",
            "telephone_number": "918-502-1900",
            "fax_number": "918-494-6303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051702",
            "country_code": "US",
            "telephone_number": "253-459-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROPPI",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-10",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009084",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007941RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5592",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60797608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108964",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.