Individual provider Active NPI

Matthew Marini, M.D.

  • Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1447570601
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52117 Issued in AZ
Practice address
3367 S. Mercy Rd
#210
Gilbert, AZ 85297
Phone
(480) 969-4138
Fax
(480) 969-0630
NPI assigned
Jun 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52117 AZ Primary

Addresses

Primary practice location

3367 S. Mercy Rd
#210
Gilbert, AZ 85297

Mailing address

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 258-9900

Other practice location 1

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (480) 969-4138

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address matthew.marini@aasaz.eclinicaldirectplus.com
Direct Messaging Address matthew.marini@aasaz.eclinicaldirectplus.com

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
I20160721001387 AZ Practitioner - General Surgery 7113210659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)42
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52117AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Advanced Surgery LLC Surgery CurrentSince Apr 1, 2020 Accepting new patients

Locations

3367 S Mercy Rd
Ste 210
Gilbert, AZ 85297
Phone (480) 850-2098

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1450 S Dobson Rd
Ste A200
Mesa, AZ 85202
Phone (480) 629-5167

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

Interoperability endpoints

  • Direct secure messaging: matthew.marini@aasaz.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

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.

Hospital & facility affiliations 10

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1447570601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041303",
            "telephone_number": "602-258-9900",
            "fax_number": "602-258-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 S. MERCY RD",
            "address_2": "#210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852027941",
            "country_code": "US",
            "telephone_number": "480-969-4138",
            "fax_number": "480-969-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINI",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "52117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.marini@aasaz.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3367 S. Mercy Rd",
            "address_2": "#210",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.marini@aasaz.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2945 S Dobson Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852027941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.