Active NPI
Anton Matveev
- Physical Medicine & Rehabilitation Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0101275750
- Practice address
- 1737 King St Ste 110
Alexandria, VA 22314-2727 - Phone
- (240) 754-7954
- NPI assigned
- May 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | D94668 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101275750 | VA | Primary |
Addresses
Primary practice location
1737 King St Ste 110
Alexandria, VA 22314-2727
Mailing address
1737 King St Ste 110
Alexandria, VA 22314-2727
Other practice location 1
601 Post Office Rd Ste 2A
Waldorf, MD 20602-1912
Phone (240) 754-7954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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
- Physical Medicine and Rehabilitation
- Education
- Rutgers New Jersey Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1737 King St
Suite 110
Alexandria, VA 22314-2727
Phone (240) 754-9754
601 Post Office Rd
Suite 2a
Waldorf, MD 20602-1912
Phone (240) 754-7954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D94668 | MD | MD | Physical Medicine & Rehabilitation Physician |
| HS000239L | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sports and Regenerative Orthopedics, LLC | Current | Accepting new patients |
Locations
601 Post Office Rd
Ste 2A
Waldorf, MD 20602
Phone (240) 754-7954
1737 King St
Ste 110
Alexandria, VA 22314
Phone (240) 754-9754
Interoperability endpoints
- anton.matveev.1@8201.direct.athenahealth.com
- https://api.platform.athenahealth.com/8201/brand/1/csg/1/fhir/r4
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Waldorf, MD
- NPI 1225459936
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1356879092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1737 KING ST STE 110",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 KING ST STE 110",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142727",
"telephone_number": "240-754-7954"
}
],
"practiceLocations": [
{
"address_1": "601 Post Office Rd Ste 2A",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206021912",
"country_code": "US",
"telephone_number": "240-754-7954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATVEEV",
"first_name": "ANTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "D94668",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101275750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.