Individual provider Active NPI

Matthew Hilgart, PA-C

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1821756347
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115349 Issued in FL
Practice address
3165 N McMullen Booth Rd BLDG H
Clearwater, FL 33761-2034
Phone
(727) 787-3911
NPI assigned
Dec 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115349 FL Primary

Addresses

Primary practice location

3165 N McMullen Booth Rd BLDG H
Clearwater, FL 33761-2034

Mailing address

1660 S Evergreen Ave
Clearwater, FL 33756-1299
Phone (352) 443-4410

Other identifiers 1

IdentifierTypeStateIssuer
PA9115349OtherFLFLORIDA BOARD OF MEDICINE STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Matthew_Hilgart@micromddirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420000428 FL Practitioner - Physician Assistant 4486041506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115349FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: matthew_hilgart@micromddirect.com

Organizations & group practices 1

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1821756347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S EVERGREEN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561299",
            "telephone_number": "352-443-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 N MCMULLEN BOOTH RD BLDG H",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612034",
            "telephone_number": "727-787-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILGART",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE STATE LICENSE",
            "identifier": "PA9115349",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Matthew_Hilgart@micromddirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3165 N McMullen Booth Rd Bldg H",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.