Active NPI
Atlantic Internal Medicine
- Internal Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ATLANTIC INTERNAL MEDICINE
- Practice address
- 171 Kempsville Rd BLDG a
Norfolk, VA 23502-4700 - Phone
- (757) 975-4695
- Fax
- (757) 852-0699
- NPI assigned
- Oct 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramon Matawaran, MD
- Title
- Sole Properitor
- Phone
- (757) 915-8691
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
171 Kempsville Rd BLDG a
Norfolk, VA 23502-4700
Mailing address
171 Kempsville Rd BLDG a
Norfolk, VA 23502-4700
Phone (757) 975-4695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2197849 | Atlantic Internal Medicine | Certificate of waiver | Oct 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
1232 Perimeter Pkwy
Ste 205
Virginia Beach, VA 23454
Phone (757) 448-5451
Interoperability endpoints
- https://api.platform.athenahealth.com/22675/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1467427773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1427657667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 KEMPSVILLE RD BLDG A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024700",
"telephone_number": "757-975-4695",
"fax_number": "757-852-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 KEMPSVILLE RD BLDG A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024700",
"telephone_number": "757-975-4695",
"fax_number": "757-852-0699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-20",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "MATAWARAN",
"authorized_official_first_name": "RAMON",
"authorized_official_title_or_position": "SOLE PROPERITOR",
"authorized_official_telephone_number": "757-915-8691",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.