SHADI DANIEL MATTAR DPM
NPI 1770286718
Podiatrist in Phoenix, AZ

Q: What is Shadi Mattar's NPI number?

The NPI number for Shadi Mattar is 1770286718. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Shadi Mattar's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Shadi Mattar was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 March 27, 2023PECOS EnrolledAccepts Medicare Assignment

18444 N 25TH AVE STE 210, PHOENIX, AZ 85023(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shadi Daniel Mattar Dpm NPPES

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

SHADI DANIEL MATTAR DPM (NPI 1770286718) is an individual podiatrist in Phoenix, Arizona, licensed in Arizona (POD-001161) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770286718

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameSHADI DANIEL MATTARCredential: DPM

Location Address18444 N 25TH AVE STE 210Phoenix, AZ 85023-1264

Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (866) 974-2673 · Fax (866) 939-2673

Phone(866) 974-2673

Fax(866) 939-2673

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 27, 2023

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1770286718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in AZ · POD-001161

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

18444 N 25TH AVE STE 210, Phoenix, AZ 85023

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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shadi Daniel Mattar Dpm 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 ID4587020185

PECOS Enrollment IDI20260731003890

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.

Medicare Billing Reassignment

Medicare enrollment records show Shadi Mattar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Orthopedic Research And Education, LLC

Same address

Orthopaedic Surgery

18444 N 25TH AVE, STE 210
Phoenix, AZ 85023

Reassigned Medicare billing, Arizona enrollment
196 clinicians in this Medicare group

NPI 1427095801 (623) 537-5600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. COURTNEY WHIDDEN PAGE PA-C

Physician Assistant