MATTHEW I GOLLUB MD
NPI 1689789414
Pediatrics - Pediatric Critical Care Medicine in Tucson, AZ

Q: What is Matthew Gollub's NPI number?

The NPI number for Matthew Gollub is 1689789414. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Matthew Gollub's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Gollub was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 20, 2006PECOS Enrolled

1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 694-8888(520) 626-6571 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew I Gollub Md NPPES

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

MATTHEW I GOLLUB MD (NPI 1689789414) is an individual pediatric critical care medicine provider in Tucson, Arizona, licensed in Colorado (45730) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689789414

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMATTHEW I GOLLUBCredential: MD

Location Address1501 N CAMPBELL AVETucson, AZ 85724-0001

Mailing Address2055 N High St, Suite 250Denver, CO 80205-5503 · (303) 839-7440 · Fax (303) 839-7210

Phone(520) 694-8888

Fax(520) 626-6571

Sole ProprietorNo

Enumeration DateAugust 20, 2006

Last NPPES UpdateSeptember 19, 2016

✔ NPI 1689789414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CO · 45730

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1501 N CAMPBELL AVE, Tucson, AZ 85724

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew I Gollub Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MR. DOUGLAS FRANK LARSON PH.D.

Perfusionist

1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724

Pima County (520) 626-6339

MARTIN DEMANT

Pediatrics