MATIS DERMATOLOGY, PC
NPI 1790016434
Dermatology in Salt Lake City, UT
About Matis Dermatology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATIS DERMATOLOGY, PC (NPI 1790016434) is a healthcare organization registered as a dermatology in Salt Lake City, Utah and active in the NPI registry since January 2010. The organization lists Wendy Matis, Dermatologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matis Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Matis Dermatology, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Matis Dermatology, PC's NPI number?
The NPI number for Matis Dermatology, PC is 1790016434. It was assigned to this organization in the NPPES registry on January 20, 2010.
Where is Matis Dermatology, PC located?
Matis Dermatology, PC is located at 710 E 200 S, Salt Lake City, UT 84102. The listed phone number is (801) 521-0100.
What is Matis Dermatology, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Matis Dermatology, PC enrolled in Medicare?
Yes. Matis Dermatology, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Matis Dermatology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Matis Dermatology, PC. 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.
When was this NPI record last updated?
The NPPES record for Matis Dermatology, PC was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.