Grace Zlaket Matta MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

23480 Issued in AZ

Legal business name

GRACE ZLAKET MATTA MD LLC

Practice address

9336 E, Raintree Dr.
Ste 150
Scottsdale, AZ 85260-7314

Phone

(480) 219-5597

Fax

(480) 219-5547

NPI assigned

Jun 21, 2007

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Grace Zlaket-MattaNPI 1679564512

Title

Medical Director - President

Phone

(480) 219-5597

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHFIBA

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iyad Syoufi, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1558315994
  Medicare reassignment NPD
• Heike Hilker, RDN, PA-C

  • Physician Assistant
  • Laveen, AZ
  • NPI 1447708680
  Medicare reassignment
• Grace Zlaket Matta, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Scottsdale, AZ
  • NPI 1679564512
  Authorized official Same address or phone
• Caitlin Molly Adamowicz, NP

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1104583152
  NPD
• Emily Ann Geiser, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1134731144
  NPD
• Emma Reeve, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1801374913
  NPD
• Joan Frances Bailey, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
  • NPI 1184615023
  NPD (past)
• Debra Gregory Bayham, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1346461803
  NPD (past)
• Kelly Muriel Hogan, PA-C

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1861123564
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1720284334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 E, RAINTREE DR.",
            "address_2": "STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607314",
            "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": "STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607314",
            "telephone_number": "480-219-5597",
            "fax_number": "480-219-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ZLAKET MATTA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "ZLAKET-MATTA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR - PRESIDENT",
        "authorized_official_telephone_number": "480-219-5597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "23480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326480",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Jane Graber, PT, DPT
• Gregory Graber, DDS
• Svetlana Stojanow Graber, M.S., CCC-SLP
• Erica Grabinski, DO
• Stephanie Diane Grable, BS
• Graceful Homes
• Graceful Living Chiropractic
• Graceward Recovery
• Patricia Arnold Grade, MD
• Gary Michael Gradke, D.D.S.

• Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Specialist in Arizona

• 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.
• 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.

Verify at the official NPI Registry.