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DR. JACOB CONNOR MATTHEWS MD
NPI 1013611482
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since March 29, 2023PECOS EnrolledAccepts Medicare Assignment
350 W THOMAS RD, PHOENIX, AZ 85013(602) 406-3000 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2024, Mar 29, 2023 (2 updates tracked since 2023).

About Dr. Jacob Connor Matthews Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB CONNOR MATTHEWS MD (NPI 1013611482) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of University Of Arizona College Of Medicine (2023).

NPPES Registry Identity

NPI1013611482
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACOB CONNOR MATTHEWSCredential: MD
Location Address350 W THOMAS RDPhoenix, AZ 85013-4409
Mailing Address1441 N 12th St Fl 2Phoenix, AZ 85006-2837 · (602) 521-5969 · Fax (602) 521-5987
Phone(602) 406-3000
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2023
Enumeration DateMarch 29, 2023
Last NPPES UpdateMay 18, 20242 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1013611482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 W THOMAS RD, Phoenix, AZ 85013
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Secondary Practice Location 1

Location 11441 N 12th St Fl 2Phoenix, AZ 85006-2837 · Phone (602) 521-5969 · Fax (602) 521-5987

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Connor Matthews Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406216985
PECOS Enrollment IDI20250627002481
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASPREET SIAN M.D.
Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-3540
BRANDON ROBERT MAY
Psychiatry & Neurology (Vascular Neurology)
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-6262
DR. JACOB WESLEY SANDERS
Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-6262
SANFORD ORNSTEIN M.D.
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-3430
LINDLEY T BLISS MD
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 615-5672
DR. TILINA N. HU MD
Radiology (Diagnostic Radiology)
350 W THOMAS RD, RADIOLOGY DEPARTMENT
PHOENIX, AZ 85013
Maricopa County (602) 406-3430
JASON AARON BESTE M.D.
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-5590
JOEL JAMES HAYDEN MD
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-3430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Matthews's NPI number?

The NPI number for Jacob Matthews is 1013611482. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Jacob Matthews located?

Jacob Matthews practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 406-3000.

What is Jacob Matthews's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Matthews enrolled in Medicare?

Yes. Jacob Matthews is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Matthews was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.