Southwest Sports Medicine & Orthopaedic Surgery Clinic, Ltd.
NPI 1912140583ActiveOrganization· Orthopaedic Surgery· Gilbert, AZ
Orthopaedic Surgery in Gilbert, Arizona, registered in NPPES in April 2009, part of Southwest Sports Medicine & Orthopaedic Surgery. The authorized official on file is Angelo J. Mattalino, MD, Owner.
Overview
| NPI | 1912140583 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southwest Sports Medicine & Orthopaedic Surgery |
| NPI issued | Apr 13, 2009 |
| Last updated in NPPES | Feb 10, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 3696 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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