Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ambar Matta, MD

Individual provider Surgery Physician · NPI 1730474115

Dr. Ambar Matta, MD is a General Surgery in Mesa, Arizona. Qualified in 2008, 18 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Ohio and Virginia.

Years since qualifying
18
Licensed in
AZ, OH, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone: (480) 969-4138
Fax: (480) 969-0630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3620 Joseph Siewick Dr, Fairfax, VA 22033-1756 — (703) 359-8640
  • 20486 Market Street, Onancock, VA 23417 — (757) 302-2700

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 58734 (AZ)
Surgery Physician Taxonomy 208600000X · Licence 0101258628 (VA)
Surgery Physician Taxonomy 208600000X · Licence 57.015725 (OH)

Record details

NPI number1730474115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2011
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address2320 N 3rd St, Phoenix, AZ 85004-1303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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