Individual provider Active NPI

Grace Zlaket Matta, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Scottsdale, AZ
National Provider Identifier
1679564512
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
23480 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
326480MedicaidAZ

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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Syoufi Endocrinology PLLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 16, 2022 Accepting new patients

Locations

9336 E Raintree Dr
Ste 150
Scottsdale, AZ 85260
Phone (480) 219-5547

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.