Individual provider Active NPI

Matthew Salvatore Kaldawi, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1437827615
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8552 Issued in AZ
Practice address
20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Sep 1, 2021
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8552 AZ Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602

Mailing address

9401 W Thunderbird Rd Ste 180
Peoria, AZ 85381-4210
Phone (623) 516-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, IL, WI, FL, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20211130001107 AZ Practitioner - Physician Assistant 0446640718 Reassigns benefits to 3 organizations
I20241218000296 CO Practitioner - Physician Assistant 0446640718 Reassigns benefits to 1 organization
I20241218002124 IL Practitioner - Physician Assistant 0446640718 Reassigns benefits to 1 organization
I20250106002788 WI Practitioner - Physician Assistant 0446640718 Reassigns benefits to 1 organization
I20250326002057 FL Practitioner - Physician Assistant 0446640718 Reassigns benefits to 1 organization
I20251111002507 TX Practitioner - Physician Assistant 0446640718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121

10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1664 E Florence Blvd
18 Simonmed Imaging Casa Grande
Casa Grande, AZ 85122-4779
Phone (520) 421-4875

1760 E Pecos Rd
101 Simonmed Imaging Rome Towers
Gilbert, AZ 85295-3201
Phone (480) 855-8060

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1960 W Frye Rd
1 Simonmed Imaging Dobson Womens Center
Chandler, AZ 85224-6238
Phone (480) 306-7340

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

20830 N Tatum Blvd
190 Simonmed Imaging Desert Ridge
Phoenix, AZ 85050-7253
Phone (480) 306-7900

21115 E Rittenhouse Rd
Simonmed Imaging Rittenhouse
Queen Creek, AZ 85142-4838
Phone (480) 371-3491

225 W State Rd 434
104 Simonmed Imaging Longwood
Longwood, FL 32750-4980
Phone (407) 304-1000

2500 S 8TH Ave
Suite 103
Yuma, AZ 85364-7132
Phone (928) 304-7801

2620 N 3Rd St
Phoenix, AZ 85004-1153

2680 S Val Vista Dr
135 Simonmed Imaging Spectrum
Gilbert, AZ 85295-1621
Phone (480) 584-4900

2830 N 3Rd St
Simonmed Imaging Thomas
Phoenix, AZ 85004-1042
Phone (602) 200-1750

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8552AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC CurrentSince Mar 11, 2025 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Mar 11, 2025 Accepting new patients
Smi Imaging LLC CurrentSince Aug 30, 2024 Accepting new patients
Smi Imaging LLC CurrentSince Dec 11, 2024 Accepting new patients
Howard Simon MD PLLC CurrentSince Dec 2, 2024 Accepting new patients
Pain Center of Arizona PC CurrentSince Aug 31, 2026 Accepting new patients
Smi Imaging, LLC CurrentSince Aug 30, 2024 Accepting new patients
The Pain Center of Arizona, PC PastSince Aug 31, 2026 Accepting new patients

Locations

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6160

20333 N 19th Ave
Ste 100
Phoenix, AZ 85027

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

17500 N Perimeter Dr
Ste 100
Scottsdale, AZ 85255

9201 E Mountain View Rd
Scottsdale, AZ 85258
Phone (480) 601-0759

1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900

11960 Lioness Way
Ste 140
Parker, CO 80134
Phone (303) 643-0200

616 W Lionshead Cir
Vail, CO 81657
Phone (615) 250-2306

265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245

8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916

3960 Hillside Dr
Ste 106
Delafield, WI 53018
Phone (262) 646-6950

2005 Silvernail Rd
Pewaukee, WI 53072
Phone (262) 436-0884

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1437827615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD STE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814210",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273602",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDAWI",
        "first_name": "MATTHEW",
        "middle_name": "SALVATORE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.