Active NPI
Matthew David Wilhelm, DO
- Interventional Pain Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- OS21131
- Practice address
- 4001 E Fletcher Ave
Tampa, FL 33613-4808 - Phone
- (813) 821-8038
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS21131 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | OS21131 | FL | Primary |
Addresses
Primary practice location
4001 E Fletcher Ave
Tampa, FL 33613-4808
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 974-2201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123139900 | Medicaid | FL | |
| 0C2RU | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwilhelm169710@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Nova Southeastern College of Osteo Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4001 E Fletcher Ave
Tampa, FL 33613-4808
Phone (813) 866-1600
4202 E Fowler Ave
Tampa, FL 33620-6750
Hospital & facility affiliations
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS21131 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Integrated Rehab Consultants Florida, PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
1201 Oakbridge Pkwy
Lakeland, FL 33803
Phone (863) 279-1600
3840 Atmore Grove Dr
Lutz, FL 33548
Phone (813) 607-3600
5725 NW 186th St
Miami Gardens, FL 33015
Phone (305) 625-9587
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
4001 E Fletcher Ave
Tampa, FL 33613
Phone (813) 866-1600
1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425
1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- mwilhelm169710@direct.tgh.org
Organizations & group practices 6
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Physical Medicine & Rehabilitation Physician
- Altamonte SPG, FL
- NPI 1245700244
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Physical Medicine & Rehabilitation
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1255960225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134808",
"telephone_number": "813-821-8038"
}
],
"practiceLocations": [
{
"address_1": "17 Davis Blvd Ste 308",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063438",
"country_code": "US",
"telephone_number": "813-974-2201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILHELM",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS21131",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "OS21131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123139900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0C2RU",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwilhelm169710@direct.tgh.org",
"affiliation": "N",
"address_1": "4001 E Fletcher Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336134808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.