Active NPI
John Qa Mattern, DO
- Hospitalist Physician
- Fishersville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 0102201424
- Practice address
- 78 Medical Center Dr
Fishersville, VA 22939-2332 - Phone
- (540) 932-4075
- Fax
- (540) 932-5199
- NPI assigned
- Feb 9, 2006
- Last updated
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0102201424 | VA | Primary |
Addresses
Primary practice location
78 Medical Center Dr
Fishersville, VA 22939-2332
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-4629
Other practice location 1
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7580
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210242 | Other | VA | SOUTHERN HEALTH |
| 5748409 | Other | VA | CIGNA |
| 5886945 | Other | VA | VA PREMIER |
| 005886945 | Medicaid | VA | |
| 2202367 | Other | VA | FIRST HEALTH |
| 466150 | Other | VA | ANTHEM |
| 64916 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Virginia Commonwealth University, School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 332-5687
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 332-5595
9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201424 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current | Accepting new patients | |
| Augusta Medical Group | Current | Accepting new patients | |
| Martha Jefferson Medical Group LLC | Hospitalist | Current | Accepting new patients |
| Anesthesia Associates of Augusta, P.L.C. | Past | Accepting new patients |
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
Interoperability endpoints
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
Hospitalist
-
dba Augusta Health Primary Care Lexington
- Rural Health Clinic/Center
- Lexington, VA
- NPI 1265015580
-
- Anesthesiology Physician
- Fishersville, VA
- NPI 1669571147
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba t/a Augusta Health
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
-
dba Augusta Health
- Rehabilitation Hospital Unit
- Fishersville, VA
- NPI 1962475954
Inpatient rehabilitation facility
-
dba Augusta Health Home Health
- Home Health Agency
- Fishersville, VA
- NPI 1992771067
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1164495354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390388",
"telephone_number": "540-932-4629",
"fax_number": "540-932-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392332",
"telephone_number": "540-932-4075",
"fax_number": "540-932-5199"
}
],
"practiceLocations": [
{
"address_1": "500 Martha Jefferson Dr",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229114668",
"country_code": "US",
"telephone_number": "434-654-7580",
"fax_number": "434-654-7582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTERN",
"first_name": "JOHN",
"middle_name": "QA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0102201424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "210242",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5748409",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "5886945",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005886945",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2202367",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "466150",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "64916",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.