Active NPI
Matthew J Groysman, MD
- Otolaryngology Physician
- Yuma, AZ
National Provider Identifier
1659953065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 81047
- Practice address
- 2680 S Avenue B
Yuma, AZ 85364-6901 - Phone
- (928) 336-1476
- Fax
- (928) 336-9622
- NPI assigned
- Apr 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 81047 | AZ | Primary |
Addresses
Primary practice location
2680 S Avenue B
Yuma, AZ 85364-6901
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Other practice location 1
2851 S Avenue B Bldg 25
Yuma, AZ 85364-7726
Phone (928) 336-1897
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702002470 | AZ | Order and Referring Only - Otolaryngology | 5092116681 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1659953065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-344-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 S AVENUE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646901",
"telephone_number": "928-336-1476",
"fax_number": "928-336-9622"
}
],
"practiceLocations": [
{
"address_1": "2851 S Avenue B Bldg 25",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853647726",
"country_code": "US",
"telephone_number": "928-336-1897",
"fax_number": "928-336-1898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROYSMAN",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-25",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "81047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.