Active NPI
Megan Mavromatis
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7926 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Single Specialty | Current | Accepting new patients |
| Valley Perinatal Services, LLC | Single Specialty | Current | Accepting new patients |
| Livn, P.C. | Single Specialty | Past | Accepting new patients |
| Fetal and Women'S Center of Arizona, LLC | Single Specialty | Past | 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
- https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
- 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.
-
- Maternal & Fetal Medicine Physician
- Chandler, AZ
- NPI 1174866743
Single Specialty
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1023828431
-
- Family Medicine Physician
- Surprise, AZ
- NPI 1043046584
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.