Matthew D Shores, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36166 Issued in AZ

Practice address

5747 N 12TH PL
Phoenix, AZ 85014-2328

Phone

(480) 414-9868

NPI assigned

Apr 3, 2007

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Madison Medical Partners, LLC

  dba AlphaMed

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1730790080
  Medicare reassignment NPD Authorized official
• Grand Canyon University

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1124501069
  Medicare reassignment NPD
• Alphamed Urgent Care

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1912763533
  NPD (past)
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614

  Family Medicine

  NPD (past)
• Neurological Rehabilitation Center LLC.

  • Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1346568250
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1376981092
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1477818730

  Family Medicine

  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tolleson, AZ
  • NPI 1750728523
  NPD (past)
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1962580118
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1861513889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 N 12TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142328",
            "telephone_number": "480-414-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 N 12TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142328",
            "telephone_number": "480-414-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Shondee, PT, DPT
• Deborah H Shoop
• Angela Shopmeyer
• Tiffany Shorb
• Lawrence Israel Shore, MD
• Elizabeth M Short, L.C.S.W.
• Kayleigh Short, D.M.D
• Kerry Short, FNP-BC
• Michelle Short
• Olivia Chason McCarthy Short, PA

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.