Individual provider Active NPI

Wissam E. Mattar, MD

  • Gastroenterology Physician
  • Scottsdale, AZ
National Provider Identifier
1831358092
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
59625 Issued in AZ
Practice address
9201 E Mountain View Rd Ste 105
Scottsdale, AZ 85258-5140
Phone
(480) 587-6614
Fax
(480) 882-5809
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 59625 AZ Primary

Addresses

Primary practice location

9201 E Mountain View Rd Ste 105
Scottsdale, AZ 85258-5140

Mailing address

9201 E Mountain View Rd Ste 105
Scottsdale, AZ 85258-5140
Phone (480) 587-6614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241029004152 MD Practitioner - Gastroenterology 8527237577 Reassigns benefits to 1 organization
I20250811001746 AZ Practitioner - Gastroenterology 8527237577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

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

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
74.47
Promoting interoperability
92
Improvement activities
40
Cost
75.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59625AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 1, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 1, 2025 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

15000 N 83rd Ave
Unit 200
Peoria, AZ 85381
Phone (623) 849-3811

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

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

33423 N 32nd Ave
Ste 101
Phoenix, AZ 85085

3198 N Windsong Dr
Prescott Vly, AZ 86314
Phone (480) 596-1110

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

9201 E Mountain View Rd
Ste 105
Scottsdale, AZ 85258
Phone (480) 587-6970

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

20745 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 882-7510

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

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Interoperability endpoints

  • Direct secure messaging: wmattar646858@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 1

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1831358092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585140",
            "telephone_number": "480-587-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585140",
            "telephone_number": "480-587-6614",
            "fax_number": "480-882-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAR",
        "first_name": "WISSAM",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "59625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.