KANT MICHAEL MATSUDA (M.D. PH.D.) – Anatomic Pathology Physician, NPI 1609193069

KANT MICHAEL MATSUDA (M.D. PH.D.) is a healthcare provider. based in Jersey city, New Jersey. specializing in PATHOLOGY. They hold the professional credentials M.D. PH.D.. They hold a License No. 25MA10489500 (NJ). The NPI Number for KANT MICHAEL MATSUDA (M.D. PH.D.) is 1609193069

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KANT MICHAEL MATSUDA (M.D. PH.D.)
NPI
1609193069
Phone
(857) 523-0219
Address
109 SHEARWATER CT E APT 24
Enumeration Date
26 April 2010
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329378651
Graduation Year
1995 (31 years ago)
PAC ID
8224388004
Group Practice PAC ID
1355390287
Professional Enrollment ID
I20190503000467
Address ID
NJ089011928NE1XXXXPLXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

355 PATHOLOGY in NJ

Provider Addresses for KANT MICHAEL MATSUDA (M.D. PH.D.)

  • 109 SHEARWATER CT E APT 24

    JERSEY CITY, NJ 073055405

    Phone: (857) 523-0219

    Type: Mailing

  • 1 ROBERT WOOD JOHNSON PL

    NEW BRUNSWICK, NJ 08901

    Phone: (732) 828-3000

    Type: Location

  • 2120 L St NW

    Washington, DC 20037

    Phone: (202) 677-6600

    Type: Location

  • 2120 L ST NW

    WASHINGTON, DC 20037

    Phone: (202) 677-6600

    Type: Location

  • 550 1st Ave

    NYU Langone Medical Center

    New York, NY 100166402

    Phone: (212) 263-5506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190503000467IPathologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88341Special stained specimen slides to examine tissue, each additional procedure34470$0
88305Pathology examination of tissue using a microscope, intermediate complexity18679$0
88342Special stained specimen slides to examine tissue, initial procedure15584$0
88360Microscopic genetic analysis of tumor, manual14145$0
88307Pathology examination of tissue using a microscope, moderately high complexity9038$0
View full utilization report →

Insurance plans in this area (ZIP 07305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355390287View full group profile
NameSpecialtyState
P A T H O L O G YKY
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YNJ
P A T H O L O G YNJ
P A T H O L O G YNY
Certified Registered Nurse Anesthetist (Crna)NJ
-NY
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for KANT MICHAEL MATSUDA (M.D. PH.D.)?
KANT MICHAEL MATSUDA (M.D. PH.D.) — NPI 1609193069 — is the standard way to identify this listing.
Is KANT MICHAEL MATSUDA (M.D. PH.D.) still practicing?
KANT MICHAEL MATSUDA (M.D. PH.D.) is currently listed as active in the public NPI registry.
What is KANT MICHAEL MATSUDA (M.D. PH.D.)'s specialty?
The listing groups KANT MICHAEL MATSUDA (M.D. PH.D.) with Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is KANT MICHAEL MATSUDA (M.D. PH.D.) based?
KANT MICHAEL MATSUDA (M.D. PH.D.) is tied to Jersey City, New Jersey in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.