Individual provider Active NPI

Matthew Herbert, PA-C

  • Surgical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1699408708
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9132 Issued in AZ
Practice address
10210 N 92ND St Ste 300
Scottsdale, AZ 85258-4525
Phone
(480) 882-7750
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 9132 AZ Primary

Addresses

Primary practice location

10210 N 92ND St Ste 300
Scottsdale, AZ 85258-4525

Mailing address

1889 Royal Oak Cir
Prescott, AZ 86305-5098
Phone (928) 925-7728

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919002566 AZ Practitioner - Physician Assistant 3870978307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Scottsdale, AZ 85258-4523

10510 N 92ND St
Scottsdale, AZ 85258-4566

15000 N 83Rd Ave
Peoria, AZ 85381-2002

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9132AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Sep 26, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 26, 2022 Accepting new patients
Honorhealth Ambulatory Surgical Past Accepting new patients

Locations

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

10210 N 92nd St
Ste 300
Scottsdale, AZ 85258
Phone (480) 882-7750

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: mherbert490653@direct.honorhealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1699408708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 ROYAL OAK CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055098",
            "telephone_number": "928-925-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584525",
            "telephone_number": "480-882-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "9132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.