NPIMap

Individual provider Active NPI

Matthew Pierce Thompson, DO

  • Anatomic Pathology Physician
  • Louisville, KY
National Provider Identifier
1568662583
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
03341 Issued in KY
Practice address
231 E Chestnut St
Pathology Dept
Louisville, KY 40202-1821
Phone
(502) 456-2008
Fax
(502) 456-4440
NPI assigned
Jul 18, 2007
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 03341 KY Primary
Pediatric Pathology Physician 207ZP0213X 03341 KY

Addresses

Primary practice location

231 E Chestnut St
Pathology Dept
Louisville, KY 40202-1821

Mailing address

1941 Bishop LN Ste 1018
Louisville, KY 40218-1928
Phone (502) 456-6211

Other practice location 1

1802 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 288-2488

Other identifiers 4

IdentifierTypeStateIssuer
7100197400MedicaidKY
50036301OtherKYPASSPORT
000000735448OtherKYANTHEM BC/BS
201039650AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110819000489 KY Practitioner - Pathology 8426228990 Reassigns benefits to 2 organizations
I20180518002263 IN Practitioner - Pathology 8426228990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric and Perinatal Pathology Associates PSCGroup PAC ID 5294708285, 5 clinicians

Practice addresses (Care Compare)

231 E Chestnut St
Suite 260
Louisville, KY 40202-1821
Phone (502) 456-6217

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03341KYMDPediatric Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Clark Medical Group LLC CurrentSince Apr 14, 2018 Accepting new patients
Pediatric and Perinatal Pathology Associates PSC Anatomic Pathology CurrentSince Aug 1, 2011 Accepting new patients

Locations

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744

6823 Highway 311
Sellersburg, IN 47172
Phone (812) 246-6362

1169 Eastern Pkwy
Ste G71
Louisville, KY 40217
Phone (502) 456-6211

1941 Bishop Ln
Ste 1018
Louisville, KY 40218

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

231 E Chestnut St
Ste 260
Louisville, KY 40202
Phone (502) 456-6217

645 S Roy Wilkins Ave
#200
Louisville, KY 40203
Phone (502) 561-0520

680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1568662583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 1018",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181928",
            "telephone_number": "502-456-6211",
            "fax_number": "502-456-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E CHESTNUT ST",
            "address_2": "PATHOLOGY DEPT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021821",
            "telephone_number": "502-456-2008",
            "fax_number": "502-456-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-288-2488",
            "fax_number": "770-573-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MATTHEW",
        "middle_name": "PIERCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "KY",
            "license": "03341",
            "primary": true
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "KY",
            "license": "03341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100197400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50036301",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000735448",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201039650A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.