Individual provider Active NPI

Matthew Dominic Mingrone, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1912029919
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A67205 Issued in CA
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060110000416 CA Practitioner - OtolaryngologyPractitioner - Sleep Medicine 3779506357 Reassigns benefits to 1 organization
I20210311002590 NV Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 3779506357 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Physician ClinicsGroup PAC ID 1153479027, 104 clinicians
CTH Physicians ClinicGroup PAC ID 1254787203, 107 clinicians

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

LicenseStateTypeSpecialty
16866NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince May 13, 2024 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince May 13, 2024 Accepting new patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients
Verity Medical Foundation CurrentSince Dec 1, 2017 Accepting new patients
Tahoe Forest Hospital District CurrentSince Jun 1, 2017 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince May 13, 2024 Accepting new patients
Sierra Nevada ENT Associates LTD Otolaryngology/Facial Plastic Surgery CurrentSince Feb 25, 2021 Accepting new patients
DCHS Medical Foundation CurrentSince Dec 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.