Individual provider Active NPI

Matthew Brian Wilkinson, M.D.

  • Internal Medicine Physician
  • Overland, MO
National Provider Identifier
1821083866
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2025045328 Issued in MO
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08232205OtherILBLUE CROSS BLUE SHIELD
1821083866MedicaidMO
036107047MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.wilkinson.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20040322000300 IL Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 5193616134 Reassigns benefits to 1 organization
I20251029004138 MO Practitioner - Internal Medicine 5193616134 Reassigns benefits to 1 organization

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
Archwell Health Professional Services of Kansas PAGroup PAC ID 4688072358, 25 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-107047ILMDEmergency Medicine Physician
2025045328MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Jun 5, 2022 Accepting new patients
Archwell Health Professional Services of Kansas, P.a. Internal Medicine CurrentSince Oct 17, 2025 Accepting new patients
Southern Illinois Healthcare Foundation Inc Internal Medicine Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jun 5, 2022 Accepting new patients
Maryville Medical Services, LLC Emergency Medicine Past Accepting new patients
Anderson Medical Group, LLC Internal Medicine PastSince Sep 1, 2021 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.