NPIMap

Individual provider Active NPI

Matthew Louis Kearney, P.A.-C

  • Medical Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1366749889
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C04440 Issued in MD
Practice address
11110 Medical Campus Rd Ste 200
Hagerstown, MD 21742-6797
Phone
(301) 714-4400
Fax
(301) 714-4424
NPI assigned
Feb 18, 2011
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C04440 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 200
Hagerstown, MD 21742-6797

Mailing address

11110 Medical Campus Rd Ste 200
Hagerstown, MD 21742-6797
Phone (301) 714-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000915 MD Practitioner - Physician Assistant 8224212782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Meritus Urgent Care LLCGroup PAC ID 2163582974, 41 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700
Phone (301) 790-9496

1130 Professional CT
Hagerstown, MD 21740-5852
Phone (240) 313-9650

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-3100

3 Byrkit Dr
Williamsport, MD 21795-1158
Phone (301) 582-1150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04440MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Urgent Care, LLC CurrentSince Jul 13, 2015 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Mar 1, 2011 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Mar 1, 2011 Accepting new patients
Meritus Urgent Care LLC CurrentSince Jul 13, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients

Locations

11110 Medical Campus Rd
Ste 107
Hagerstown, MD 21742
Phone (301) 714-4100

11110 Medical Campus Rd
Ste 200
Hagerstown, MD 21742
Phone (301) 714-4300

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1366749889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 200",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426797",
            "telephone_number": "301-714-4400",
            "fax_number": "301-714-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 200",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426797",
            "telephone_number": "301-714-4400",
            "fax_number": "301-714-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "MATTHEW",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C04440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.