Active NPI
Matthew A Croppi, PA
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0009084
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108964 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OH, CO, AZ, NV, TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5592 | OK | MD | Dentist |
| PA.0009084 | CO | MD | Physician Assistant |
| 50.007941RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Health Navigation LLC | Current | Accepting new patients | |
| Dispatchhealth-Arizona | Current | Accepting new patients | |
| South Sound Inpatient Physicians, PLLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Warren Clinic Inc | Current | 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
- 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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1164920252
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1922532944
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Emergency Medicine Physician
- Columbia, MD
- NPI 1811765449
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Pediatrics Physician
- Tacoma, WA
- NPI 1427601467
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.