Individual provider Active NPI

Matthew L Wilson, M.D.

  • Anesthesiology Physician
  • Lexington, KY
National Provider Identifier
1316949035
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
39568 Issued in KY
Practice address
1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone
(859) 268-1030
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 39568 KY Primary

Addresses

Primary practice location

1 Saint Joseph Dr
Lexington, KY 40504-3742

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050613000603 KY Practitioner - Anesthesiology 7719921667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kentucky College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians
Triangle Anesthesia Group, PSCGroup PAC ID 9436161585, 77 clinicians

Practice addresses (Care Compare)

150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 313-1515

225 Falcon Dr
Mount Sterling, KY 40353-9792
Phone (270) 441-4500

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 252-6612

81 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-8100

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates, PSC Anesthesiology CurrentSince Jul 1, 2005 Accepting new patients
Commonwealth Anesthesia, PSC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients

Locations

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

Organizations & group practices 3

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 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1316949035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT JOSEPH DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043742",
            "telephone_number": "859-268-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "39568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.