Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Matthew Edward Kirk, MD

Individual provider Family Medicine Physician · NPI 1215370846

Dr. Matthew Edward Kirk, MD is a Family Practice in Santa Rosa, California. Graduated from Virginia Commonwealth University, School of Medicine in 2013, 13 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Kentucky and Virginia.

Years since qualifying
13
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
CA, KY, VA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 Bicentennial Way Ste 250
Santa Rosa, CA 95403-2149
Phone: (707) 393-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A174580 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0116028936 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 52598 (KY)

Record details

NPI number1215370846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2013
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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