Active NPI
Matthew Brian Wilkinson, M.D.
- Internal Medicine Physician
- Overland, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2025045328
- Practice address
- 9150 Overland PLZ
Overland, MO 63114-6123 - Phone
- (314) 449-9633
- Fax
- (314) 449-9634
- NPI assigned
- Sep 15, 2005
- Last updated
- Oct 31, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-107047 | IL | |
| Internal Medicine Physician | 207R00000X | 036107047 | IL | |
| Internal Medicine Physician | 207R00000X | 2025045328 | MO | Primary |
| Pediatrics Physician | 208000000X | 036107047 | IL |
Addresses
Primary practice location
9150 Overland PLZ
Overland, MO 63114-6123
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
2900 Frank Scott Pkwy W Ste 980
Belleville, IL 62223-5000
Phone (618) 234-9200
Other practice location 2
12860 Troxler Ave
Highland, IL 62249-2898
Phone (618) 651-2810
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08232205 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1821083866 | Medicaid | MO | |
| 036107047 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | matthew.wilkinson.1@9559.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 Aubert Ave
Saint Louis, MO 63113-1918
Phone (314) 449-9726
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-107047 | IL | MD | Emergency Medicine Physician |
| 2025045328 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Healthcare Foundation, Inc. | Current | Accepting new patients | |
| Archwell Health Professional Services of Kansas, P.a. | Internal Medicine | Current | Accepting new patients |
| Southern Illinois Healthcare Foundation Inc | Internal Medicine | Current | Accepting new patients |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Maryville Medical Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Anderson Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
| Alton Multispecialists, LTD. | Internal Medicine | Past | Accepting new patients |
Locations
211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700
2900 Frank Scott Pkwy W
Ste 980
Belleville, IL 62223
Phone (618) 234-9200
6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740
2001 State St
East St Louis, IL 62205
Phone (618) 271-0204
199 N Florissant Rd
Ferguson, MO 63135
Phone (314) 449-9640
9150 Overland Plz
Overland, MO 63114
Phone (314) 449-9633
1315 Aubert Ave
Saint Louis, MO 63113
Phone (314) 449-9726
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Ferguson, MO
- NPI 1083289086
-
dba Centreville Health Center
- Federally Qualified Health Center (FQHC)
- Centreville, IL
- NPI 1609813500
Internal Medicine
-
dba SIHF Healthcare
- Federally Qualified Health Center (FQHC)
- Waterloo, IL
- NPI 1821813247
-
dba SIHF Healthcare
- Federally Qualified Health Center (FQHC)
- Red Bud, IL
- NPI 1033573183
-
- General Practice Physician
- Maryville, IL
- NPI 1700807716
Internal Medicine
-
- Emergency Medicine Physician
- Highland, IL
- NPI 1487047627
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1821083866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 OVERLAND PLZ",
"city": "OVERLAND",
"state": "MO",
"postal_code": "631146123",
"telephone_number": "314-449-9633",
"fax_number": "314-449-9634"
}
],
"practiceLocations": [
{
"address_1": "2900 Frank Scott Pkwy W Ste 980",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622235000",
"country_code": "US",
"telephone_number": "618-234-9200",
"fax_number": "618-234-3940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12860 Troxler Ave",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "IL",
"postal_code": "622492898",
"country_code": "US",
"telephone_number": "618-651-2810",
"fax_number": "618-651-0077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINSON",
"first_name": "MATTHEW",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-107047",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036107047",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2025045328",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036107047",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08232205",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821083866",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036107047",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "matthew.wilkinson.1@9559.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2900 Frank Scott Pkwy W Ste 980",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622235000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Overland, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.