Active NPI
Grace Zlaket Matta, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Scottsdale, AZ
National Provider Identifier
1679564512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 23480
- Practice address
- 9336 E Raintree Dr
Ste150
Scottsdale, AZ 85260-7322 - Phone
- (480) 219-5597
- Fax
- (480) 219-5547
- NPI assigned
- Oct 31, 2005
- Last updated
- Oct 23, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 23480 | AZ | Primary |
Addresses
Primary practice location
9336 E Raintree Dr
Ste150
Scottsdale, AZ 85260-7322
Mailing address
9336 E Raintree Dr
Ste150
Scottsdale, AZ 85260-7322
Phone (480) 219-5597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326480 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 21, 2022 through Sep 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syoufi Endocrinology PLLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
9336 E Raintree Dr
Ste 150
Scottsdale, AZ 85260
Phone (480) 219-5547
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHFIBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Scottsdale, AZ
- NPI 1720284334
-
- Endocrinology, Diabetes & Metabolism Physician
- Scottsdale, AZ
- NPI 1811257710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1679564512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9336 E RAINTREE DR",
"address_2": "STE150",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607322",
"telephone_number": "480-219-5597",
"fax_number": "480-219-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9336 E RAINTREE DR",
"address_2": "STE150",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607322",
"telephone_number": "480-219-5597",
"fax_number": "480-219-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZLAKET MATTA",
"first_name": "GRACE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AZ",
"license": "23480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "326480",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.