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

Matthew Thomas Kingery, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1255951224

Matthew Thomas Kingery, MD is an Orthopedic Surgery in Chicago, Illinois. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Illinois and Indiana.

Years since qualifying
9
Licensed in
IL, IN
In the registry since
2020
Specialties on file
4
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

1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (212) 263-5506

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036179858 (IL)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 01100065A (IN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 01100065A (IN)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 036179858 (IL)

Record details

NPI number1255951224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing addressPo Box 735263, Chicago, IL 60673-5263

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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