Individual provider Active NPI

Matthew Alan Hopson, D.P.M.

  • Podiatrist
  • Williamsburg, VA
National Provider Identifier
1164692877
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301012 Issued in VA
Practice address
5424 Discovery Park Blvd.
Suite 204
Williamsburg, VA 23188
Phone
(757) 345-5870
Fax
(757) 345-6927
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103301012 VA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301012 VA
Sports Medicine Podiatrist 213ES0000X 0103301012 VA

Addresses

Primary practice location

5424 Discovery Park Blvd.
Suite 204
Williamsburg, VA 23188

Mailing address

860 Omni Blvd.
Suite 303
Newport News, VA 23606
Phone (757) 232-8769

Other identifiers 2

IdentifierTypeStateIssuer
0908440001OtherVADMERC
DP3152OtherVARAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000624 VA Practitioner - Podiatry 6800940065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11751 Rock Landing Dr
Suite 1
Newport News, VA 23606-4233
Phone (757) 240-2700

13347 Warwick Blvd
Newport News, VA 23602-5601
Phone (757) 877-0214

400 Sentara Cir
Suite 400
Williamsburg, VA 23188-5716
Phone (757) 645-3150

4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829

5424 Discovery Park Blvd
Williamsburg, VA 23188-2862

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue39
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301012VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 30, 2011 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 1, 2011 Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients
Virginia Foot & Ankle Surgical Associates Podiatrist PastSince Jul 10, 2009 Accepting new patients

Locations

5659 Parkway Dr
Ste 200
Gloucester, VA 23061
Phone (757) 259-0443

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 113
Newport News, VA 23606
Phone (757) 327-0657

13347 Warwick Blvd
Newport News, VA 23602
Phone (757) 877-0214

11751 Rock Landing Dr
Ste 6
Newport News, VA 23606
Phone (757) 327-0657

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1164692877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD.",
            "address_2": "SUITE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BLVD.",
            "address_2": "SUITE 204",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-345-5870",
            "fax_number": "757-345-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPSON",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301012",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301012",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "VA",
            "license": "0103301012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0908440001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP3152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.