Angelo James Mattalino, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

17728 Issued in AZ

Practice address

8580 E Shea Blvd Ste 120
Scottsdale, AZ 85260-6684

Phone

(480) 763-5950

Fax

(480) 763-1375

NPI assigned

Sep 16, 2006

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Yes, effective Mar 9, 2021 through Mar 9, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Southwest Sports Medicine & Orthopaedic Surgery Clinic, LTD.

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1295827384
  NPD Authorized official
• Southwest Sports Medicine & Orthopaedic Surgery Clinic

  • Orthopaedic Surgery Physician
  • Mesa, AZ
  • NPI 1083940837
  Authorized official Same address or phone
• Southwest Sports Medicine & Orthopaedic Surgery Clinic, LTD.

  • Orthopaedic Surgery Physician
  • Gilbert, AZ
  • NPI 1912140583
  NPD (past) Authorized official
• Coasterra Anesthesia LLC

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1851802631
  NPD
• Joint Regenerative LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Phoenix, AZ
  • NPI 1417420126
  NPD
• Southwest Sleep Centers LLC

  dba Sleep Right

  • Sleep Disorder Diagnostic Clinic/Center
  • Scottsdale, AZ
  • NPI 1912073347
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1770689671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 E SHEA BLVD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606684",
            "telephone_number": "480-763-5950",
            "fax_number": "480-763-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 E SHEA BLVD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606684",
            "telephone_number": "480-763-5950",
            "fax_number": "480-763-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTALINO",
        "first_name": "ANGELO",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "17728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bradley Matson, RN
• Krista Leigh Matsueda, RN
• Suzanne M Matsumoto, MPT
• Skye Hiromi Matsuura, PA-C
• Natsu Matsuya, MD
• Wissam E. Mattar, MD
• Matteson & Sanchez Psychological Services PLLC (InSight Psychology)
• Chelsea Lynn Matteson, PSYD
• Nicholas G. Matthees, M.D.
• Matthew E Nelson DDS LTD (Southtown Dental Care)

• Sports Medicine (Orthopaedic Surgery) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.

Verify at the official NPI Registry.