Active NPI
Matthew Sandridge, DO
- Emergency Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0102203890
- Practice address
- 1213 E Clay St
Richmond, VA 23298-5071 - Phone
- (804) 828-0996
- Fax
- (804) 828-0648
- NPI assigned
- Aug 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 0102203890 | VA | |
| Emergency Medicine Physician | 207P00000X | 0102203890 | VA | Primary |
Addresses
Primary practice location
1213 E Clay St
Richmond, VA 23298-5071
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-0996
Other practice location 2
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311000143 | VA | Order and Referring Only - Emergency Medicine | 7416393673 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215361449 | VA | MD | Emergency Medicine Physician |
| 0102203890 | VA | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1215361449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 E CLAY ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985071",
"telephone_number": "804-828-0996",
"fax_number": "804-828-0648"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-0996",
"fax_number": "804-628-0384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1755 N Mecklenburg Ave",
"address_purpose": "LOCATION",
"city": "South Hill",
"state": "VA",
"postal_code": "239704080",
"country_code": "US",
"telephone_number": "434-447-3151",
"fax_number": "434-584-5023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDRIDGE",
"first_name": "MATTHEW",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "VA",
"license": "0102203890",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102203890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.