Active NPI
Derek Matt, D.O.
- Anesthesiology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0102206668
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5023 - Phone
- (804) 828-2207
- Fax
- (804) 828-8300
- NPI assigned
- Apr 17, 2017
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0102206668 | VA | Primary |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5023
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
77 Goodell St
Buffalo, NY 14203-1243
Phone (716) 829-6104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- West Virginia School of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4402 | WV | MD | General Practice Dentistry |
| 0102206668 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Anesthesiology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Anesthesiology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| MCV Associated Physicians | Anesthesiology | Past | Accepting new patients |
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Anesthesiology
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1356875439",
"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": "1250 E MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985023",
"telephone_number": "804-828-2207",
"fax_number": "804-828-8300"
}
],
"practiceLocations": [
{
"address_1": "77 Goodell St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142031243",
"country_code": "US",
"telephone_number": "716-829-6104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATT",
"first_name": "DEREK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-17",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0102206668",
"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 Jun 9, 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.