Active NPI
Matthew Dominic Mingrone, MD
- Otolaryngology/Facial Plastic Surgery Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- A67205
- Practice address
- 50 Post St
Suite 6
San Francisco, CA 94104-4546 - Phone
- (408) 374-4370
- Fax
- (415) 926-6390
- NPI assigned
- Apr 3, 2007
- Last updated
- Aug 14, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | A67205 | CA | Primary |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | A67205 | CA |
Addresses
Primary practice location
50 Post St
Suite 6
San Francisco, CA 94104-4546
Mailing address
PO Box 687
Los Gatos, CA 95031-0687
Phone (408) 374-4370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Georgetown University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1493 Medical Pkwy
Carson City, NV 89703-4635
Phone (775) 883-7666
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16866 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carson Tahoe Physician Clinics | Current | Accepting new patients | |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| CTH Physicians Clinic | Current | Accepting new patients | |
| Verity Medical Foundation | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| Sierra Nevada ENT Associates LTD | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| DCHS Medical Foundation | Current | Accepting new patients | |
| Matthew D. Mingrone, MD, a Professional Corporation | Plastic Surgery Within the Head and Neck | Past | Accepting new patients |
Locations
25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056
450 Sutter St
Rm 1404
San Francisco, CA 94108
Phone (415) 433-3668
2504 Samaritan Dr
Ste 20
San Jose, CA 95124
Phone (408) 358-1804
10956 Donner Pass Rd
Ste 340
Truckee, CA 96161
Phone (530) 582-8300
1493 Medical Pkwy
Carson City, NV 89703
Phone (775) 283-3317
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220
901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630
1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595
1520 Virginia Ranch Rd
Ste 103
Gardnerville, NV 89410
Phone (775) 782-3888
10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026
Interoperability endpoints
- mmingrone506656@direct.med.utah.edu
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1023265717
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1306533732
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1326312067
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Otolaryngology Physician
- Carson City, NV
- NPI 1710075437
Otolaryngology/Facial Plastic Surgery
-
- Otolaryngology/Facial Plastic Surgery Physician
- San Francisco, CA
- NPI 1639446693
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Los Gatos, CA
- NPI 1376665380
-
- Internal Medicine Physician
- San Jose, CA
- NPI 1740597368
-
dba Tahoe Forest Hospital
- Critical Access Hospital
- Truckee, CA
- NPI 1538265780
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1912029919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950310687",
"telephone_number": "408-374-4370",
"fax_number": "415-926-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 POST ST",
"address_2": "SUITE 6",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044546",
"telephone_number": "408-374-4370",
"fax_number": "415-926-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGRONE",
"first_name": "MATTHEW",
"middle_name": "DOMINIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "A67205",
"primary": true
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "CA",
"license": "A67205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.