Individual provider Active NPI

Matthew Frederick Vogel, M.D.

  • Obstetrics & Gynecology Physician
  • Kilmarnock, VA
National Provider Identifier
1336180959
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101048305 Issued in VA
Practice address
102 DMV Dr
Kilmarnock, VA 22482-3843
Phone
(804) 288-4084
Fax
(804) 559-2046
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101048305 VA Primary

Addresses

Primary practice location

102 DMV Dr
Kilmarnock, VA 22482-3843

Mailing address

7130 Glen Forest Dr
Suite 101
Richmond, VA 23226-3754
Phone (804) 288-4084

Other identifiers 3

IdentifierTypeStateIssuer
1336180959MedicaidVA
103644OtherVAANTHEM BCBS
P00152477OtherVARR 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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000197 VA Practitioner - Obstetrics/Gynecology 4880671312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

102 DMV Dr
Kilmarnock, VA 22482-3843
Phone (804) 288-4084

12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084

7515 Right Flank Rd
Mechanicsville, VA 23116-3818
Phone (804) 288-4084

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

  • Rappahannock General Hospital Hospital, Kilmarnock, VA, CCN 491308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
Virginia Womens Center Inc CurrentSince Apr 1, 2014 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Apr 18, 2018 Accepting new patients

Locations

102 Dmv Dr
Kilmarnock, VA 22482
Phone 80466260607530

8644 Sudley Rd
#220
Manassas, VA 20110

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

658 Hospital Rd
#304
Tappahannock, VA 22560

Organizations & group practices 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1336180959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DMV DR",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823843",
            "telephone_number": "804-288-4084",
            "fax_number": "804-559-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "MATTHEW",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101048305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336180959",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "103644",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00152477",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.