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

Matthew Hobart Mardis, MD

Individual provider Anesthesiology Physician · NPI 1780244731

Matthew Hobart Mardis, MD is an Anesthesiology in Lexington, Kentucky. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Missouri.

Years since qualifying
7
Licensed in
KY, MO
In the registry since
2019
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

800 Rose St
Lexington, KY 40536-0001
Phone: (859) 323-5956
Fax: (859) 323-1080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Department Of Anesthesiology 1 Hospital Drive, Columbia, MO 65212-0001 — (573) 882-9522

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 58082 (KY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2019021882 (MO)
Anesthesiology Physician Taxonomy 207L00000X · Licence TP594 (KY)

Record details

NPI number1780244731
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2019
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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