Carolyn Anne Matzinger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10187 Issued in NV

Practice address

10620 Southern Highlands Pkwy
Suite 110-419
Las Vegas, NV 89141-4371

Phone

(702) 380-1974

Fax

(702) 269-5547

NPI assigned

Aug 12, 2005

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Carolyn a Matzinger MD a Professional Corporation

  • Internal Medicine Physician
  • Susanville, CA
  • NPI 1639304116
  Authorized official Same address or phone
• Inpatient Consultants of Nevada, Inc. a Medical Corporation

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1821041070

  Internal Medicine

  NPD (past)
• Apogee Medical Group Idaho PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1518086651
  NPD (past)
• Capital Home Health, Inc

  • Home Health Agency
  • Columbus, OH
  • NPI 1306992946
  NPD (past)
• Steven C Burks MD & Assoc Inc

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1184761959
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1447252911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 SOUTHERN HIGHLANDS PKWY",
            "address_2": "SUITE 110-419",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414371",
            "telephone_number": "702-380-1974",
            "fax_number": "702-269-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SOUTHERN HIGHLANDS PKWY",
            "address_2": "SUITE 110-419",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414371",
            "telephone_number": "702-380-1974",
            "fax_number": "702-269-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZINGER",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10187",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-10201",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-10201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447252911",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Quillosa Matutis, APRN, FNP-BC
• Alexander Matyga, DO
• Lori Matyskiel
• Joanne Marie Matz, OTR
• Thomas Matz, MD
• Lile Uahiva Mau
• Erika Cordero Mauban, MD
• Rene A Mauban, M.D.
• Alena Maufas
• Octavia Maufas

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.