Individual provider Active NPI

Matthew Joseph Killion, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1174580500
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD058148L Issued in PA
Practice address
1015 Chestnut St
#1506
Philadelphia, PA 19107-4316
Phone
(215) 503-2700
Fax
(215) 503-2702
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD058148L PA Primary

Addresses

Primary practice location

1015 Chestnut St
#1506
Philadelphia, PA 19107-4316

Mailing address

1015 Chestnut St
#1506
Philadelphia, PA 19107-4316
Phone (215) 503-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040826000002 PA Practitioner - Internal Medicine 2769456631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 Chestnut St
Suite 1506
Philadelphia, PA 19107-4315
Phone (215) 503-2700

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Philadelphia, PA, CCN 397643
  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD058148LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Killion Medical Associates, P.C. Internal Medicine CurrentSince Jul 1, 2000 Accepting new patients
Jefferson University Physicians Internal Medicine Past Accepting new patients

Locations

1015 Chestnut St
Ste 1506
Philadelphia, PA 19107
Phone (215) 503-2700

Organizations & group practices 2

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1174580500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST",
            "address_2": "#1506",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074316",
            "telephone_number": "215-503-2700",
            "fax_number": "215-503-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST",
            "address_2": "#1506",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074316",
            "telephone_number": "215-503-2700",
            "fax_number": "215-503-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLION",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058148L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.