DR. MATHEW VAN SMITH (MD) – Neuroradiology Physician, NPI 1306404579
Neuroradiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
988 DIAGNOSTIC RADIOLOGY in AZ
Provider Addresses for DR. MATHEW VAN SMITH (MD)
17040 N 51st Ave Ste 100
Glendale, AZ 853081496
Phone: (602) 406-1164
Fax: (623) 935-9495
Type: Location
7330 N 99th Ave Ste 200
Glendale, AZ 853073018
Phone: (602) 406-0033
Fax: (602) 406-0035
Type: Location
4975 N Dysart Rd Unit 100
Litchfield Park, AZ 853403082
Phone: (602) 406-8852
Fax: (623) 935-9495
Type: Location
Tucson Medical Center, 5301, East Grant Road, Tucson, Pima County, Arizona, 85712, United States
TUCSON, AZ 857122805
Phone:
Type: Mailing
13400 E SHEA BLVD
SCOTTSDALE, AZ 852595452
Phone: (480) 301-8000
Type: Mailing
350 W THOMAS RD
PHOENIX, AZ 850134409
Phone: (602) 954-6228
Fax: (602) 957-6142
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: GE HEALTHCARE ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HEALTHCARE | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230428001501 | I | Diagnostic Radiology | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85308)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Diagnostic Radiology | AZ | |
| - | CO | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | AZ | |
| - | AZ | |
| Interventional Radiology | CA | |
| Undefined Physician Type (Specify) | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.