Tim Matatov, M.D.
Tim Matatov is a Plastic and Reconstructive Surgery Physician provider (Surgery) practicing in Phoenix, AZ, registered in the NPPES registry with NPI 1104093301 since 2008. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1104093301 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Tim Matatov |
| Credential | M.D. |
| Sex | Male |
| Practice address | Phoenix, AZ, 85016 |
| Phone | 4805764310 |
| Fax | 4805764311 |
| Enumeration date | 2008-05-15 |
| Last updated in NPPES | 2024-11-20 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0122X | Plastic and Reconstructive Surgery Physician | Primary | 52217 | AZ |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Tim Matatov, M.D. NPI: 1104093301 Taxonomy: 2086S0122X (Plastic and Reconstructive Surgery Physician) Address: Phoenix, AZ, 85016
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366685711 | Joseph Zakhary | Individual | Plastic Surgery Physician | Phoenix, AZ |
| 1265766125 | Matthew Mino | Individual | Plastic Surgery Physician | Phoenix, AZ |
| 1972965820 | Arvind Gowda | Individual | Plastic Surgery Physician | Phoenix, AZ |
| 1942700984 | Joseph Zakhary MD LLC | Organization | Plastic Surgery Physician | Phoenix, AZ |
| 1386237394 | Southwest Breast and Aesthetics, LLC | Organization | Plastic and Reconstructive Surgery Physician | Phoenix, AZ |
| 1003679580 | Beauty Edit | Organization | Other Specialist/Technologist | Phoenix, AZ |
| 1134071814 | Lauren Krieger | Individual | Physician Assistant | Phoenix, AZ |
| 1356282545 | Brigid Benson | Individual | Physician Assistant | Phoenix, AZ |
Verify this record
Cross-check NPI 1104093301 against the authoritative CMS record: view Tim Matatov on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-20.