Active NPI
Kimberly M. Winston Matthews, M.D.
- Family Medicine Physician
- Detroit, MI
National Provider Identifier
1033283551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301063310
- Practice address
- Henry Ford Health System
4401 Conner
Detroit, MI 48215 - Phone
- (313) 823-9800
- Fax
- (313) 823-9883
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301063310 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
4401 Conner
Detroit, MI 48215
Mailing address
Henry Ford Health System
4401 Conner
Detroit, MI 48215
Phone (313) 823-9800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080H262390 | Other | BLUE CROSS-BLUE CROSS | |
| KW063310 | Other | CHAMPUS-CHAMPUS | |
| 337843310 | Medicaid | MI | |
| KW063310 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmatthews13024@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1033283551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "4401 CONNER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48215",
"telephone_number": "313-823-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "4401 CONNER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48215",
"telephone_number": "313-823-9800",
"fax_number": "313-823-9883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSTON MATTHEWS",
"first_name": "KIMBERLY",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301063310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "080H262390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "KW063310",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337843310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "KW063310",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmatthews13024@direct.hfhs.org",
"affiliation": "N",
"endpointDescription": "no",
"address_1": "3370 E Jefferson Ave",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482074236",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.