Matthew Paul Namanny, DO

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

005077 Issued in AZ

Practice address

6442 E Speedway Blvd Ste 102
Tucson, AZ 85710-1134

Phone

(520) 777-4090

Fax

(520) 318-3061

NPI assigned

May 15, 2007

Last updated

Dec 2, 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 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Vascular Surgery

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tucson Medical CenterGroup PAC ID 4284527227, 29 clinicians

Arizona Vascular Specialists LLCGroup PAC ID 7113321878, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• Benson Hospital Hospital, Benson, AZ, CCN 031301

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Arizona Vascular Specialists, LLC

  • Vascular Surgery Physician
  • Tucson, AZ
  • NPI 1487238176
  Medicare reassignment Care Compare group NPD
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Medicare reassignment Care Compare group

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

• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1821204041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 E SPEEDWAY BLVD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857100012",
            "telephone_number": "520-777-4090",
            "fax_number": "520-332-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 E SPEEDWAY BLVD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101134",
            "telephone_number": "520-777-4090",
            "fax_number": "520-318-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMANNY",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "005077",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015324",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "005077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Edgerly Nakazato, PHARMD
• Paul Z Nakazato, MD
• Nikki Levy Nakovic, RN ANP
• Rebecca Naldo, RD
• Aparna Nallagangula
• Ali Namazifard, PHARM D
• Shaida Namazifard, PHARM.D.
• Kaacha Star Naminda, PMHNP
• Nancy Lynne Namka, ED. D.
• Bernard Nanadiego

• Vascular Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.
• 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.