Individual provider Active NPI

Matthew Robert Offerdahl, MD

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1891750766
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33805 Issued in AZ
Practice address
2810 N Swan Rd
Suite 100
Tucson, AZ 85712-6305
Phone
(520) 324-2030
Fax
(520) 324-2619
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33805 AZ Primary

Addresses

Primary practice location

2810 N Swan Rd
Suite 100
Tucson, AZ 85712-6305

Mailing address

2810 N Swan Rd
Suite 100
Tucson, AZ 85712-6305
Phone (520) 324-2030

Other identifiers 1

IdentifierTypeStateIssuer
950594MedicaidAZ

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
I20050825000349 AZ Practitioner - Anesthesiology 2769383827 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Minnesota Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Ambulatory Anesthesia LLCGroup PAC ID 9931566619, 8 clinicians
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

2424 N Wyatt Dr
Suite 160
Tucson, AZ 85712-6119
Phone (520) 815-5050

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33805AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients
Banner-University Medical Group Anesthesiology Current Accepting new patients
Tucson Ambulatory Anesthesia LLC CurrentSince Jul 1, 2024 Accepting new patients
Banner-University Medical Group CurrentSince Oct 1, 2023 Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

1625 N Campbell Ave
Ste 3324
Tucson, AZ 85719

5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202

2424 N Wyatt Dr
Ste 160
Tucson, AZ 85712
Phone (520) 784-6500

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

Organizations & group practices 6

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1891750766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N SWAN RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126305",
            "telephone_number": "520-324-2030",
            "fax_number": "520-324-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N SWAN RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126305",
            "telephone_number": "520-324-2030",
            "fax_number": "520-324-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFERDAHL",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "33805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950594",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.