Individual provider Active NPI

Megan Mavromatis

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1669930087
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492
Phone
(480) 677-8282
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X AZ Primary

Addresses

Primary practice location

2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012001508 AZ Practitioner - Physician Assistant 8325468457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

2620 N 3Rd St
Suite 103
Phoenix, AZ 85004-1153
Phone (480) 756-6000

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7926AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Apr 5, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Apr 5, 2021 Accepting new patients
Good Health Medical, PLLC Single Specialty Current Accepting new patients
Valley Perinatal Services, LLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Livn, P.C. Single Specialty Past Accepting new patients
Fetal and Women'S Center of Arizona, LLC Single Specialty PastSince Dec 1, 2025 Accepting new patients

Locations

11435 W Buckeye Rd
Ste A106
Avondale, AZ 85323
Phone (703) 415-6994

19550 W Indian School Rd
Ste 102
Buckeye, AZ 85396

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

6320 W Union Hills Dr
Ste 1600B
Glendale, AZ 85308
Phone (602) 277-4868

831 S Cotton Ln
Ste F78
Goodyear, AZ 85338

2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152

10240 W Indian School Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 907-2377

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

8141 W Camelback Rd
Ste B101
Phoenix, AZ 85033

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mrichter18967@mydrnow.gardenplot.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1669930087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W BASELINE RD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416492",
            "telephone_number": "480-677-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVROMATIS",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.