Individual provider Active NPI

Matthew D. Skinner, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1396070819
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
46497 Issued in AZ
Practice address
9590 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4583
Phone
(480) 455-3000
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 46497 AZ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 46497 AZ Primary

Addresses

Primary practice location

9590 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4583

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1214
Phone (623) 935-9494

Other practice location 2

2601 E Roosevelt St
Dept of Internal Medicine
Phoenix, AZ 85008-4973
Phone (602) 344-5027

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000592 AZ Practitioner - Internal Medicine 0749437994 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med-Cure Internal Medicine PLCGroup PAC ID 2668522665, 29 clinicians
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Practice addresses (Care Compare)

1325 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-1228
Phone (623) 935-9494

22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46497AZMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Alliance, LLC CurrentSince Jan 5, 2015 Accepting new patients
Leading Healthcare, LLC Hospitalist CurrentSince Aug 29, 2024 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
4C Medical Group PLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Z Medicine LLC Hospitalist CurrentSince Dec 1, 2023 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Nov 11, 2018 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 8, 2023 Accepting new patients
Med-Cure Internal Medicine, PLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
American Physicians, Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Geriatric Solutions - Hov, LLC CurrentSince Jan 1, 2019 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 8, 2023 Accepting new patients
District Medical Group, Inc CurrentSince May 1, 2015 Accepting new patients
District Medical Group, Inc Current Accepting new patients
U Medical PLLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
4C Medical Group PLC CurrentSince Oct 1, 2019 Accepting new patients
Reunion Rehabilitation Hospital Peoria, LLC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC PastSince Mar 1, 2024 Accepting new patients
District Medical Group, Inc Internal Medicine Past Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients

Locations (25 of 27)

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

13620 N 55th Ave
Glendale, AZ 85304
Phone (602) 588-1047

13657 W McDowell Rd
Ste 11
Goodyear, AZ 85395

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1325 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (623) 932-4060

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

426 N 44th St
Ste 450
Phoenix, AZ 85008
Phone (602) 269-6011

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

14775 W Yorkshire Dr
Surprise, AZ 85374
Phone (623) 377-9698

2163 E Baseline Rd
Ste 105
Tempe, AZ 85283
Phone (480) 775-3503

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBDIAA

Organizations & group practices 19

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 19

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1396070819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584583",
            "telephone_number": "480-455-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 N Litchfield Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951214",
            "country_code": "US",
            "telephone_number": "623-935-9494",
            "fax_number": "623-935-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 E Roosevelt St",
            "address_2": "Dept of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084973",
            "country_code": "US",
            "telephone_number": "602-344-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "46497",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "46497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.