Active NPI
Matthew William Beal, MD
- Dermatology Physician
- Tucson, AZ
National Provider Identifier
1881913846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 47563
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838508 | Medicaid | AZ |
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
Enrollment records 1
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
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 100
- Quality
- 88.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 29.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 105 |
| Removal of skin lesions | 2753 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47563 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pima Dermatology PC | Single Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.