Active NPI
Matthew Mortensen Goodman, M.D
- Dermatology Physician
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20487
- 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
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 |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 77.27
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 38.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 21 |
| Removal of skin lesions | 814 |
| Removal of skin cancer | 151 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20487 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodman Dermatology and Mohs Surgery PLLC | Dermatology | Current | Accepting new patients |
| Donsky Bogle Dermatology LLC | Dermatology | Current | Accepting new patients |
| Newport Beach Surgical and Medical Group Inc | Dermatology | Current | Accepting new patients |
| Oculoplastic Eye Surgeons of Phoenix P.L.C. | Past | Accepting new patients | |
| Clin-Path Pathology | Past | 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
- 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.
-
dba Grand Canyon Dermatology PLLC
- Dermatology Physician
- Mesa, AZ
- NPI 1982849691
-
- Dermatology Physician
- Sun City West, AZ
- NPI 1841073723
-
- Otolaryngology Physician
- Newport Beach, CA
- NPI 1477953511
Dermatology
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1922079706
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Peoria, AZ
- NPI 1821457532
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
- 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.