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

Individual provider Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1285163246

Dr. Matthew Michael Gannon, MD is an Internal Medicine in Phoenix, Arizona. Qualified in 2011, 15 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona and Iowa.

Years since qualifying
15
Licensed in
AZ, IA
In the registry since
2017
Specialties on file
2
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

500 W Thomas Rd Ste 600
Phoenix, AZ 85013-4221
Phone: (602) 406-4433
Fax: (602) 512-6545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 60565 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence R10852 (IA)

Record details

NPI number1285163246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2017
Last updated in NPPESAugust 19, 2021
Certification dateJune 9, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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