Individual provider Active NPI

Matthew Mortensen Goodman, M.D

  • Dermatology Physician
  • Sun City West, AZ
National Provider Identifier
1679556633
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20487 Issued in CA
Practice address
13830 W Camino del Sol Ste 240
Sun City West, AZ 85375-4746
Phone
(623) 254-7375
Fax
(623) 259-6754
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 20487 AZ
Dermatology Physician 207N00000X 20487 CA Primary

Addresses

Primary practice location

13830 W Camino del Sol Ste 240
Sun City West, AZ 85375-4746

Mailing address

13830 W Camino del Sol Ste 240
Sun City West, AZ 85375-4746
Phone (623) 254-7375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090330000523 CA Practitioner - Dermatology 4587721956 Reassigns benefits to 1 organization
I20231109001142 AZ Practitioner - Dermatology 4587721956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donsky Bogle Dermatology LLCGroup PAC ID 6608930763, 7 clinicians
Goodman Dermatology and Mohs Surgery PLLCGroup PAC ID 6406203686, 3 clinicians

Practice addresses (Care Compare)

1150 N Country Club Dr
6 Grand Canyon Derm PLLC
Mesa, AZ 85201-2537
Phone (480) 962-1050

13830 W Camino del Sol
Suite 240
Sun City West, AZ 85375-4746
Phone (623) 254-7375

Merit-based Incentive Payment System (MIPS)

Final score
74.57 of 100Reported as group
Quality
77.27
Promoting interoperability
99
Improvement activities
40
Cost
38.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions814
Removal of skin cancer151
Removal or shaving of skin growth1-10
Skin biopsy269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20487CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Dermatology and Mohs Surgery PLLC Dermatology CurrentSince Sep 19, 2023 Accepting new patients
Donsky Bogle Dermatology LLC Dermatology CurrentSince Sep 27, 2024 Accepting new patients
Newport Beach Surgical and Medical Group Inc Dermatology CurrentSince Aug 19, 2019 Accepting new patients
Oculoplastic Eye Surgeons of Phoenix P.L.C. PastSince Aug 28, 2022 Accepting new patients
Clin-Path Pathology PastSince Sep 27, 2024 Accepting new patients

Locations

4365 E Pecos Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 962-1050

1150 N Country Club Dr
Ste 6
Mesa, AZ 85201
Phone (480) 962-1050

1150 N Country Club Dr
Mesa, AZ 85201
Phone (480) 962-1050

9151 W Thunderbird Rd
#G104
Peoria, AZ 85381
Phone (623) 522-8687

9151 W Thunderbird Rd
Ste G104
Peoria, AZ 85381
Phone 6028432900114

9151 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 546-1400

1500 S White Mountain Rd
Ste 405
Show Low, AZ 85901
Phone (928) 978-5951

15405 N 99th Ave
Ste B
Sun City, AZ 85351
Phone (623) 254-7375

13830 W Camino del Sol
Ste 240
Sun City West, AZ 85375
Phone (623) 254-7375

490 W Bralliar Rd
Wickenburg, AZ 85390
Phone (623) 974-0522

180 Newport Center Dr
Ste 158
Newport Beach, CA 92660
Phone (949) 209-1622

Interoperability endpoints

  • Direct secure messaging: matthew.goodman.p1@direct.sms.nextgenshare.com

Organizations & group practices 5

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1679556633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL STE 240",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754746",
            "telephone_number": "623-254-7375",
            "fax_number": "623-259-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL STE 240",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754746",
            "telephone_number": "623-254-7375",
            "fax_number": "623-259-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MATTHEW",
        "middle_name": "MORTENSEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "20487",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.