MAVIS N MATSUMOTO, MD, LLC
NPI 1932497229
Clinic/Center - Primary Care in Henderson, NV
About Mavis N Matsumoto, Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAVIS N MATSUMOTO, MD, LLC (NPI 1932497229) is a healthcare organization registered as a primary care in Henderson, Nevada and active in the NPI registry since July 2011. The organization lists Mavis N Matsumoto, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Mavis N Matsumoto, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mavis N Matsumoto, MD, LLC, 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 Mavis N Matsumoto, MD, LLC's NPI number?
The NPI number for Mavis N Matsumoto, MD, LLC is 1932497229. It was assigned to this organization in the NPPES registry on July 20, 2011.
Where is Mavis N Matsumoto, MD, LLC located?
Mavis N Matsumoto, MD, LLC is located at 870 Seven Hills Dr Suite 102, Henderson, NV 89052. The listed phone number is (702) 992-4050.
What is Mavis N Matsumoto, MD, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mavis N Matsumoto, MD, LLC enrolled in Medicare?
Yes. Mavis N Matsumoto, MD, LLC is registered in the Medicare PECOS enrollment system.
When is Mavis N Matsumoto, 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 (Nevada, Clinic/Group Practice) is due for revalidation by December 31, 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 Mavis N Matsumoto, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mavis N Matsumoto, 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.
When was this NPI record last updated?
The NPPES record for Mavis N Matsumoto, MD, LLC was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mavis N Matsumoto, Md, Llc · NPI 1932497229
Primary Care organization in Henderson, Nevada. Organization record, active in the CMS NPPES registry since July 20, 2011.
## Identity
- **NPI:** 1932497229 (Entity type: Organization)
- **Enumerated:** July 20, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mavis Matsumoto, OWNER
## Practice location
- **Address:** 870 SEVEN HILLS DR, SUITE 102, Henderson, NV 89052-4377
- **Phone:** (702) 992-4050 · **Fax:** (702) 992-4052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Nevada, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2012
- **Other identifiers:** Medicare UPIN G31004 (NV)
---
Source: [NPI Profile](https://npiprofile.com/npi/1932497229) · Data from the CMS NPPES public registry.