Individual provider Active NPI

Matthew Mutterperl, AUD

  • Audiologist-Hearing Aid Fitter
  • Tucson, AZ
National Provider Identifier
1346922630
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA14656 Issued in AZ
Practice address
3320 N Campbell Ave Ste 150
Tucson, AZ 85719-2398
Phone
(520) 775-3333
NPI assigned
Aug 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA14656 AZ Primary

Addresses

Primary practice location

3320 N Campbell Ave Ste 150
Tucson, AZ 85719-2398

Mailing address

3320 N Campbell Ave Ste 150
Tucson, AZ 85719-2398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921003106 AZ Practitioner - Qualified Audiologist 5496109621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Ear Nose and ThroatGroup PAC ID 1951626472, 14 clinicians

Practice addresses (Care Compare)

2506 E Vistoso Commerce Loop
Suite 180
Oro Valley, AZ 85755-9114
Phone (520) 447-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA14656AZMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Ear Nose and Throat CurrentSince Aug 11, 2023 Accepting new patients

Locations

2506 E Vistoso Commerce Loop
Ste 180
Oro Valley, AZ 85755
Phone (520) 447-8400

7650 E Broadway Blvd
Ste 109
Tucson, AZ 85710
Phone (520) 600-7970

3320 N Campbell Ave
Ste 150
Tucson, AZ 85719
Phone (520) 775-3333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1346922630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N CAMPBELL AVE STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N CAMPBELL AVE STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192398",
            "telephone_number": "520-775-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTERPERL",
        "first_name": "MATTHEW",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA14656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.