Individual provider Active NPI

Matthew E Karlovsky, MD

  • Urology Physician
  • Mesa, AZ
National Provider Identifier
1568450666
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
33566 Issued in AZ
Practice address
2530 E Southern Ave
Mesa, AZ 85204-5411
Phone
(480) 834-4188
NPI assigned
Oct 12, 2005
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33566 AZ
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 33566 AZ
Urology Physician 208800000X 33566 AZ Primary

Addresses

Primary practice location

2530 E Southern Ave
Mesa, AZ 85204-5411

Mailing address

25 Crossroads Dr Ste 306
Owings Mills, MD 21117-5437

Other practice location 1

6750 E Baywood Ave Ste 507
Mesa, AZ 85206-1749
Phone (480) 409-5060

Other practice location 2

1125 S Alma School Rd Ste 202
Chandler, AZ 85286-2811
Phone (480) 409-5060

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
I20050512000782 AZ Practitioner - Urology 2365483005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

519 Rose LN
Suite a
Wickenburg, AZ 85390-1448
Phone (928) 684-4365

523 Rose LN
Wickenburg, AZ 85390-1448

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33566AZMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Surgeons of Arizona PLC Urology CurrentSince Dec 15, 2021 Accepting new patients
Urologic Surgeons of Arizona PLC Urology CurrentSince Dec 15, 2021 Accepting new patients
Community Hospital Association, Inc. Current Accepting new patients
Community Hospital Association, Inc. Past Accepting new patients

Locations

1125 S Alma School Rd
Ste 202
Chandler, AZ 85286
Phone (480) 409-5060

1234 S Power Rd
Ste 102
Mesa, AZ 85206
Phone (480) 409-5060

6750 E Baywood Ave
Ste 507
Mesa, AZ 85206
Phone (480) 409-5060

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1568450666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045411",
            "telephone_number": "480-834-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 E Baywood Ave Ste 507",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061749",
            "country_code": "US",
            "telephone_number": "480-409-5060",
            "fax_number": "480-409-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 S Alma School Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852862811",
            "country_code": "US",
            "telephone_number": "480-409-5060",
            "fax_number": "480-409-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARLOVSKY",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "33566",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "AZ",
            "license": "33566",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "33566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.