Matthew Larkin Dunn, MD
Individual provider Active NPI Hospitalist Physician · Flagstaff, AZ
NPI 1508068495 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1508068495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 44564 (AZ)
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001 - Phone
- (928) 214-2920
- Fax
- (928) 214-2925
- NPI assigned
- Jun 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of Maryland School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspen Valley Hospital District
Practice addresses (Care Compare)
401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 925-1120
Hospital & facility affiliations
- Aspen Valley Hospital District
- Aspen Valley Hospital District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220511000669 | CO | Practitioner - Hospitalist | 0840478624 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0003789 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Valley Hospital District | Current |
Accepting new patients | |
| Aspen Valley Hospital District | Current |
Accepting new patients | |
| Aspen Valley Hospital District | Current |
Accepting new patients | |
| Flagstaff Medical Center | Past | Accepting new patients | |
| Aspen Valley Hospital District Clinics | Past | Accepting new patients |
Locations
401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 44564 | AZ | |
| Internal Medicine Physician | 207R00000X | C7-0003789 | DE | |
| Pediatrics Physician | 208000000X | 44564 | AZ | |
| Pediatrics Physician | 208000000X | C7-0003789 | DE | |
| Hospitalist Physician | 208M00000X | 44564 | AZ | Yes |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 638692 | Medicaid | AZ | |
| P01188547 | Other | AZ | RAILROAD MEDICARE |
Other providers in Flagstaff, AZ
- Madison Dugan
- Mikyla Belle Dugi
- Cassadi Duncan
- Codi Dunlap
- Marli Dunn
- Sudha Dunn
- Karen Duran
- Ashlee Suzanne Duray
- John W Durham
- Amy T Duschinski
All providers in Flagstaff, AZ · Hospitalist Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.