Matthew Dale Millett, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7177 Issued in AZ

Practice address

595 N Dobson Rd Ste D65
Chandler, AZ 85224-4234

Phone

(480) 718-1300

Fax

(480) 545-7181

NPI assigned

Jul 29, 2008

Last updated

Nov 15, 2017By 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 2

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

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Sunrise Health Services Home health agency, Mesa, AZ, CCN 037226

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
• Direct secure messaging: matthew.millett.1@19654.direct.athenahealth.com
• Direct secure messaging: mmillett@hmg.gwaydirect.com

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.

• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment Care Compare group NPD
• Allen Family Medicine PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1356614176
  NPD (past)
• Charina Tecson MD PC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1689896094
  NPD (past)
• Concentra Primary Care of Arizona PA

  dba Hatfield Family Medicine

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1770844706
  NPD (past)
• Val Vista Lakes Family Medicine, PC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1487605481
  NPD (past)

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

• Apache Healthcare Services Inc.

  dba Sunrise Health Services

  • Home Health Agency
  • Gilbert, AZ
  • NPI 1760449409
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1881850907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7060",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467060",
            "telephone_number": "480-444-2017",
            "fax_number": "480-545-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE D65",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244234",
            "telephone_number": "480-718-1300",
            "fax_number": "480-545-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETT",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "5885",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla L Miller
• Raymond Dean Miller, APRN
• Ryan Cameron Miller, M.D.
• Teena Miller, LAMFT
• Tom Miller
• Dionne K Mills, M.D.
• Margaret Lee Mills
• Silas Mills Jr.
• Taelor Millsap
• Melissa Milner, PT, DPT

• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, 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 Nov 15, 2017; 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.