Individual provider Active NPI

Alan H Matsumoto, MD

  • Vascular & Interventional Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1255489803
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101046826 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-0001
Phone
(434) 924-9400
Fax
(434) 982-1618
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101046826 VA
Vascular & Interventional Radiology Physician 2085R0204X 0101046826 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-0001

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000

Other practice location 1

Uva Hospital
Lee Street, 1st Floor
Charlottesville, VA 22908-0001
Phone (434) 924-9401

Other identifiers 1

IdentifierTypeStateIssuer
007265671MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000020 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4880674233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

1215 Lee St
Charlottesville, VA 22908-0816

1240 Lee St
Charlottesville, VA 22908-0817
Phone (434) 243-0321

500 Ray C Hunt Dr
FL 2
Charlottesville, VA 22903-2981
Phone (434) 243-4520

515 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone (434) 244-2000

545 Ray C Hunt Dr
Charlottesville, VA 22903-2981

Hospital & facility affiliations

  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
University of Virginia Physicians Group CurrentSince Jan 1, 1991 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Appalachian Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients

Locations

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

1 Lee St
Charlottesville, VA 22908
Phone (804) 492-5204

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

Organizations & group practices 6

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 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1255489803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-9400",
            "fax_number": "434-982-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uva Hospital",
            "address_2": "Lee Street, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080001",
            "country_code": "US",
            "telephone_number": "434-924-9401",
            "fax_number": "434-982-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "ALAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101046826",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101046826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007265671",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.