Individual provider Active NPI

Matthew T Kline, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bryn Mawr, PA
National Provider Identifier
1790749646
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD029145E Issued in PA
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

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001049552MedicaidPA
P00972273OtherPARAILROAD MEDICARE
5658052OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20040310000742 PA Practitioner - AnesthesiologyPractitioner - Nuclear Medicine 7012805922
I20090108000058 DE Practitioner - Pain ManagementPractitioner - Nuclear MedicinePractitioner - Anesthesiology 7012805922 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Spine Center PA CurrentSince Nov 1, 2020 Accepting new patients
Christiana Spine Center PA CurrentSince Nov 1, 2020 Accepting new patients
Bellingham Spine Pain Specialists, P.S. PastSince Jun 1, 2017 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 PastSince Mar 7, 2011 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.