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

Dr. Matthew Todd Desjardins, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1699777847

Dr. Matthew Todd Desjardins, MD is a Sports Medicine in Edgewood, Kentucky. Graduated from Wayne State University School of Medicine in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
28
Trained at
Wayne State University School of Medicine
Licensed in
KY
In the registry since
2005
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

560 S Loop Rd
Edgewood, KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 301-0655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 38980 (KY)

Record details

NPI number1699777847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESMay 11, 2015

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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