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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIM MATATOV M.D.
NPI 1104093301
Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ

Active since May 15, 2008Opted out of Medicare · through Mar 15, 2028
2801 E CAMELBACK RD STE 100, PHOENIX, AZ 85016(480) 576-4310(480) 576-4311 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Nov 20, 2024 (2 updates tracked since 2024).

About Tim Matatov M.d. NPPES

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

TIM MATATOV M.D. (NPI 1104093301) is an individual plastic and reconstructive surgery provider in Phoenix, Arizona, licensed in Arizona (52217) and active in the NPI registry since May 2008. He has opted out of Medicare through March 15, 2028 and remains eligible to order and refer and maintains a secondary practice location in Chandler.

NPPES Registry Identity

NPI1104093301
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameTIM MATATOVCredential: M.D.
Location Address2801 E CAMELBACK RD STE 100Phoenix, AZ 85016-4363
Mailing Address2801 E Camelback Rd Ste 100Phoenix, AZ 85016-4363 · (480) 576-4310 · Fax (480) 576-4311
Phone(480) 576-4310
Fax(480) 576-4311
Sole ProprietorYes
Enumeration DateMay 15, 2008
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1104093301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in AZ · 52217
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2801 E CAMELBACK RD STE 100, Phoenix, AZ 85016
Open in Google Maps ↗

Secondary Practice Location 1

Location 12700 W Frye Rd Ste 340Chandler, AZ 85224-4950 · Phone (480) 576-4300 · Fax (480) 576-4301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tim Matatov M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2022 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2022
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

BEAUTY EDIT
Specialist/Technologist, Other
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (503) 258-7885
LAUREN KRIEGER PA-C
Physician Assistant
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 680-7003
DR. MATTHEW MINO M.D.
Plastic Surgery
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 576-4310
BRIGID BENSON PA-C
Physician Assistant
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 576-4310
JOSEPH ZAKHARY MD
Plastic Surgery
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 576-4310
SOUTHWEST BREAST AND AESTHETICS, LLC
Surgery (Plastic and Reconstructive Surgery)
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 576-4310
JOSEPH ZAKHARY MD LLC
Plastic Surgery
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 576-4310
DR. ARVIND UMESH GOWDA M.D.
Plastic Surgery
2801 E CAMELBACK RD STE 100
PHOENIX, AZ 85016
Maricopa County (480) 576-4310

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 Tim Matatov's NPI number?

The NPI number for Tim Matatov is 1104093301. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Tim Matatov located?

Tim Matatov practices at 2801 E Camelback Rd Ste 100, Phoenix, AZ 85016. The listed phone number is (480) 576-4310.

What is Tim Matatov's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Tim Matatov enrolled in Medicare?

No. Tim Matatov has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tim Matatov accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Tim Matatov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tim Matatov was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.