Individual provider Active NPI

Matthew William Beal, MD

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1881913846
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
47563 Issued in AZ
Practice address
5150 E Glenn St
Tucson, AZ 85712-1337
Phone
(520) 795-7729
Fax
(520) 795-4177
NPI assigned
May 28, 2010
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 47563 AZ Primary

Addresses

Primary practice location

5150 E Glenn St
Tucson, AZ 85712-1337

Mailing address

5150 E Glenn St
Tucson, AZ 85712-1337
Phone (520) 795-7729

Other identifiers 1

IdentifierTypeStateIssuer
838508MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130729000760 AZ Practitioner - Dermatology 1557502812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Dermatology PCGroup PAC ID 8527951326, 7 clinicians

Practice addresses (Care Compare)

5150 E Glenn St
Tucson, AZ 85712-1337
Phone (520) 795-7729

Merit-based Incentive Payment System (MIPS)

Final score
75.53 of 100Reported as group
Quality
88.48
Promoting interoperability
100
Improvement activities
40
Cost
29.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision105
Removal of skin lesions2753
Removal or shaving of skin growth1-10
Skin biopsy1386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47563AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Dermatology PC Single Specialty CurrentSince Jan 1, 2014 Accepting new patients

Locations

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

5150 E Glenn St
Tucson, AZ 85712
Phone (520) 795-7729

Interoperability endpoints

  • Direct secure messaging: mbeal@pimaderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1881913846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-7729",
            "fax_number": "520-795-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-7729",
            "fax_number": "520-795-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "47563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "838508",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.