Active NPI
Kameron Leigh Matthews, MD, JD
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD045568
- Practice address
- 546 Eastern Pkwy
Brooklyn, NY 11225-1604 - Phone
- (000) 000-0000
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036124675 | IL | |
| Family Medicine Physician | 207Q00000X | MD045568 | DC | Primary |
Addresses
Primary practice location
546 Eastern Pkwy
Brooklyn, NY 11225-1604
Mailing address
495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY, NC, OH, MA, IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045568 | DC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Cityblock Medical Practice, P.a. | Family Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Family Medicine | Current | Accepting new patients |
| Oluwatoyin Ajayi Medical Practice, PC | Family Medicine | Current | Accepting new patients |
| Cityblock Medical Practice, LLC | Current | Accepting new patients |
Locations
15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529
1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261
55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
2418 W Division St
Chicago, IL 60622
Phone (312) 432-2621
251 E Huron St
Chicago, IL 60611
100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529
4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407
4444 The Plaza
Unit 18
Charlotte, NC 28215
1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676
101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000
55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063
495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800
800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 10
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1013673821
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588296784
Family Medicine, FL, MA, NC
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
Family Medicine
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1912491770
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1043510241
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1669493466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1902028822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 FLATBUSH AVE STE C5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 EASTERN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251604",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "KAMERON",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "MD, JD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036124675",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD045568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.