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

Matthew Bryan Mastrodomenico, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1487944930

Matthew Bryan Mastrodomenico, MD is a Pathology in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2011, 15 years ago. Practices with The Delta Pathology Group LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Louisiana and South Carolina.

Years since qualifying
15
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA, SC
In the registry since
2011
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

2915 Missouri Ave
Shreveport, LA 71109-4327
Phone: (318) 621-8820
Fax: (318) 212-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD.301728 (LA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD37690 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487944930
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2011
Last updated in NPPESJuly 22, 2016

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2011 (15 years in practice)
Group practice The Delta Pathology Group Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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