Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Matthew Bryan Mastrodomenico, M.D.

Anatomic Pathology & Clinical Pathology Physician in Shreveport, LA · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487944930

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Registry record

Entity type Individual (Type 1)

Name Matthew Bryan Mastrodomenico

Credential M.D.

Sex Male

Practice address 2915 Missouri Ave, Shreveport, LA, 71109

Phone (318) 621-8820

Fax (318) 212-4189

Enumeration date Apr 17, 2011

Last updated in NPPES Jul 22, 2016

Taxonomy & licenses

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License MD.301728 (LA) Primary

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License MD37690 (SC) Secondary

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
13776549	Other	LA	CAQH
2420763	Medicaid	LA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Matthew Mastrodomenico?

The National Provider Identifier (NPI) for Matthew Mastrodomenico is 1487944930, a Type 1 (individual) record in the CMS NPPES registry.

Where does Matthew Mastrodomenico practice?

The practice location on file with NPPES is in Shreveport, LA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-22.