Individual provider Active NPI

Mark A. Mathurin, MD

  • Emergency Medicine Physician
  • Tempe, AZ
National Provider Identifier
1497853733
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23700 Issued in AZ
Practice address
1500 S Mill Ave
Emergency Department
Tempe, AZ 85281-6699
Phone
(480) 784-5533
Fax
(480) 333-5197
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 23700 AZ
Emergency Medicine Physician 207P00000X 23700 AZ Primary

Addresses

Primary practice location

1500 S Mill Ave
Emergency Department
Tempe, AZ 85281-6699

Mailing address

861 SW 78TH Ave
#100B
Plantation, FL 33324-3273
Phone (954) 693-0000

Other practice location 1

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

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
I20040503001564 AZ Practitioner - Family PracticePractitioner - Emergency Medicine 0648268532 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Wisconsin School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med-Cure Internal Medicine PLCGroup PAC ID 2668522665, 29 clinicians
Hospitalist Medicine Healthcare LLCGroup PAC ID 5193948867, 13 clinicians

Practice addresses (Care Compare)

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

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (302) 354-5471

Hospital & facility affiliations

  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • Whiteriver PHS Indian Hospital Hospital, Whiteriver, AZ, CCN 030113
  • Little Colorado Medical Center Hospital, Winslow, AZ, CCN 031311
  • White Mountain Regional Medical Center Hospital, Springerville, AZ, CCN 031315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23700AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Cure Internal Medicine, PLC CurrentSince May 1, 2023 Accepting new patients
Hospitalist Medicine Healthcare LLC Hospitalist CurrentSince Apr 1, 2014 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Current Accepting new patients
Pioneer Hospitalists, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Nov 1, 2009 Accepting new patients
Willard Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Hualapai Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Summit Healthcare Association Past Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC PastSince May 1, 2023 Accepting new patients
Mesa General Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

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

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446

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

13657 W McDowell Rd
Ste 11
Goodyear, AZ 85395

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

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

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBDIAA
  • Direct secure messaging: gehmmathu@yourcarecommunity.org

Organizations & group practices 16

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 16

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1497853733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SW 78TH AVE",
            "address_2": "#100B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243273",
            "telephone_number": "954-693-0000",
            "fax_number": "954-693-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MILL AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816699",
            "telephone_number": "480-784-5533",
            "fax_number": "480-333-5197"
        }
    ],
    "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"
        }
    ],
    "basic": {
        "last_name": "MATHURIN",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "23700",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "23700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.