Individual provider Active NPI

Matthew Lawrence Kilbridge, MD

  • Vascular & Interventional Radiology Physician
  • Brandywine, MD
National Provider Identifier
1568810455
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D93618 Issued in MD
Practice address
7704 Matapeake Business Dr Ste 130
Brandywine, MD 20613-3049
Phone
(301) 358-6070
Fax
(301) 358-6111
NPI assigned
Jun 1, 2016
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME148014 FL
Diagnostic Radiology Physician 2085R0202X D93618 MD
Vascular & Interventional Radiology Physician 2085R0204X D93618 MD Primary

Addresses

Primary practice location

7704 Matapeake Business Dr Ste 130
Brandywine, MD 20613-3049

Mailing address

7704 Matapeake Business Dr Ste 130
Brandywine, MD 20613-3049
Phone (301) 358-6070

Other practice location 1

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 692-4700

Other practice location 2

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (786) 292-9870

Other practice location 3

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 292-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210517001270 FL Practitioner - Diagnostic Radiology 6002225323 Reassigns benefits to 2 organizations
I20221024000162 DC Practitioner - Interventional Radiology 6002225323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Pittsburgh School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Vascular and Oncology Institute, LLCGroup PAC ID 1456608439, 3 clinicians

Practice addresses (Care Compare)

7704 Matapeake Business Dr
Suite 130
Brandywine, MD 20613-3049
Phone (301) 358-6070

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)463

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148014FLMDDiagnostic Radiology Physician
D93618MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Jul 1, 2021 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Precision Vein Center Inc Vascular & Interventional Radiology PastSince Mar 7, 2021 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Interoperability endpoints

  • Direct secure messaging: mkilbridge@cvo.curemd.direct-ci.com
  • Direct secure messaging: mkilbridge926056@direct.umm.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1568810455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR STE 130",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133049",
            "telephone_number": "301-358-6070",
            "fax_number": "301-358-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR STE 130",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133049",
            "telephone_number": "301-358-6070",
            "fax_number": "301-358-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132536",
            "country_code": "US",
            "telephone_number": "412-692-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Davis Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063438",
            "country_code": "US",
            "telephone_number": "786-292-9870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-292-9870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBRIDGE",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME148014",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D93618",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D93618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

Verify at the official NPI Registry.