Individual provider Active NPI

Matthew Harry Lee Wilkerson, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Tyler, TX
National Provider Identifier
1134566946
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
R4649 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701
Phone
(903) 606-5864
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X R4649 TX
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X R4649 TX Primary
Anesthesiology Physician 207L00000X R4649 TX

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-3111

Other practice location 2

2602 Saint Michael Dr Ste 425D
Texarkana, TX 75503-2387
Phone (903) 614-5258

Other practice location 3

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Other identifiers 2

IdentifierTypeStateIssuer
387308503MedicaidTX
820877OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208002016 TX Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 3577707199 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Anesthesiology
Education
University of Texas Medical School at San Antonio, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Texas Intensivists, PLLCGroup PAC ID 7810342672, 37 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
Southeast Texas Intensivists, PLLC Multi-Specialty CurrentSince Mar 20, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 6, 2018 Accepting new patients
Lone Star Intensivists at Gulf Coast, PLLC Multi-Specialty CurrentSince Dec 15, 2023 Accepting new patients
Austin Anesthesiology Group, PLLC Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Austin Anesthesiology Group PLLC Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Northeast Texas Intensivists, PLLC Multi-Specialty CurrentSince Feb 20, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Multi-Specialty CurrentSince Aug 6, 2018 Accepting new patients
Christus Trinity Clinic Texas Multi-Specialty CurrentSince Aug 12, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 12, 2019 Accepting new patients
McAllen Hospitalist Group, PLLC Multi-Specialty CurrentSince Feb 19, 2021 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

800 E Dawson St
Fl 4
Tyler, TX 75701
Phone (903) 531-4080

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: matthew.wilkerson@hca2.eclinicaldirectplus.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1134566946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-606-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Saint Michael Dr Ste 425D",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032387",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "fax_number": "903-614-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "fax_number": "903-315-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MATTHEW",
        "middle_name": "HARRY LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "R4649",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "R4649",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R4649",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387308503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "820877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.