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GRACE ZLAKET MATTA MD LLC
NPI 1720284334
Specialist in Scottsdale, AZ

Active since June 21, 2007
9336 E, RAINTREE DR., STE 150, SCOTTSDALE, AZ 85260(480) 219-5597(480) 219-5547 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Zlaket Matta Md Llc NPPES

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

GRACE ZLAKET MATTA MD LLC (NPI 1720284334) is a healthcare organization registered as a specialist in Scottsdale, Arizona and active in the NPI registry since June 2007. The organization lists Grace Zlaket-matta, Medical Director - President, as its authorized official.

NPPES Registry Identity

NPI1720284334
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRACE ZLAKET MATTA MD LLC
Location Address9336 E, RAINTREE DR., STE 150Scottsdale, AZ 85260-7314
Mailing Address9336 E, Raintree Dr., Ste 150Scottsdale, AZ 85260-7314 · (480) 219-5597 · Fax (480) 219-5547
Phone(480) 219-5597
Fax(480) 219-5547
Organization SubpartNo
Authorized OfficialGrace Zlaket-mattaMedical Director - President · (480) 219-5597
Enumeration DateJune 21, 2007
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1720284334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 23480
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9336 E, RAINTREE DR., Scottsdale, AZ 85260
Open in Google Maps ↗

Other Identifiers 1

Medicaid326480AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Zlaket Matta Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20040611001282Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Zlaket Matta MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Iyad Syoufi, M.D.
Endocrinology
NPI 1558315994
9336 E RAINTREE DR SUITE 150
Scottsdale, AZ 85260
(480) 219-5597
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Grace Zlaket Matta MD LLC's NPI number?

The NPI number for Grace Zlaket Matta MD LLC is 1720284334. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Grace Zlaket Matta MD LLC located?

Grace Zlaket Matta MD LLC is located at 9336 E, Raintree Dr. Ste 150, Scottsdale, AZ 85260. The listed phone number is (480) 219-5597.

What is Grace Zlaket Matta MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Grace Zlaket Matta MD LLC enrolled in Medicare?

Yes. Grace Zlaket Matta MD LLC is registered in the Medicare PECOS enrollment system.

When is Grace Zlaket Matta MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Grace Zlaket Matta MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Grace Zlaket Matta MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grace Zlaket Matta MD LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Grace Zlaket Matta MD LLC 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 Grace Zlaket Matta MD LLC was last updated on October 23, 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.