Active NPI
Matthew T Kline, M.D.
- Pain Medicine (Anesthesiology) Physician
- Bryn Mawr, PA
National Provider Identifier
1790749646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD029145E
- Practice address
- 101 S Bryn Mawr Ave
Ste 200
Bryn Mawr, PA 19010-3123 - Phone
- (610) 527-9500
- Fax
- (610) 527-8166
- NPI assigned
- Apr 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD029145E | PA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | C1-0006716 | DE |
Addresses
Primary practice location
101 S Bryn Mawr Ave
Ste 200
Bryn Mawr, PA 19010-3123
Mailing address
P.O. Box 12870
Wilmington, DE 19850-2870
Phone (800) 526-3536
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001049552 | Medicaid | PA | |
| P00972273 | Other | PA | RAILROAD MEDICARE |
| 5658052 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Spine Center PA | Current | Accepting new patients | |
| Christiana Spine Center PA | Current | Accepting new patients | |
| Bellingham Spine Pain Specialists, P.S. | Past | Accepting new patients | |
| Pinnacle Mid-Atlantic Pain Medicine, PC | Pain Medicine | Past | Accepting new patients |
| The Plastic Surgery Center | Past | Accepting new patients | |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Pain Medicine | Past | Accepting new patients |
Locations
4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Phone (302) 602-7000
1101 Twin C Ln
Ste 102
Newark, DE 19713
Phone (302) 602-7000
1101 Twin C Ln
Ste 202
Newark, DE 19713
Phone (302) 636-1164
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHGGAD
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 Medicine & Rehabilitation Physician
- Newark, DE
- NPI 1821059387
-
- Diagnostic Ultrasound Physician
- Newark, DE
- NPI 1427536333
-
- Anesthesiology Physician
- Pottsville, PA
- NPI 1073789244
Pain Medicine
-
- Interventional Pain Medicine Physician
- Havertown, PA
- NPI 1174799340
-
- Interventional Pain Medicine Physician
- Bellingham, WA
- NPI 1104921824
-
- Plastic and Reconstructive Surgery Physician
- Red Bank, NJ
- NPI 1386613834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1790749646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 12870",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198502870",
"telephone_number": "800-526-3536",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S BRYN MAWR AVE",
"address_2": "STE 200",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103123",
"telephone_number": "610-527-9500",
"fax_number": "610-527-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "MATTHEW",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-15",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD029145E",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "DE",
"license": "C1-0006716",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001049552",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00972273",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5658052",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.