NPIMap

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
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

Other identifiers 1

IdentifierTypeStateIssuer
931833MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
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
Community Hospital Association Inc 29 clinicians

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

  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33566AZMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association, Inc. Current Accepting new 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. 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

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

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

Organizations & group practices 7

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 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "931833",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.