NPIMap

Individual provider Active NPI

Ramon A Matawaran, MD

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1467427773
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101039962 Issued in VA
Practice address
171 Kempsville Rd BLDG a
Norfolk, VA 23502-4700
Phone
(757) 975-4695
Fax
(757) 852-0699
NPI assigned
Feb 21, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101039962 VA Primary

Addresses

Primary practice location

171 Kempsville Rd BLDG a
Norfolk, VA 23502-4700

Mailing address

1232 Perimeter Pkwy Ste 206
Virginia Beach, VA 23454-5924
Phone (757) 975-4695

Other practice location 1

1168 First Colonial Rd
Suite 201
Virginia Beach, VA 23454-2426
Phone (757) 481-1113

Other practice location 2

1253 Nimmo Pkwy Ste 110
VA Beach, VA 23456
Phone (757) 821-2088

Other identifiers 1

IdentifierTypeStateIssuer
005841224MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000299 VA Practitioner - Internal Medicine 7416058219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

171 Kempsville Rd
BLDG a
Norfolk, VA 23502-4700
Phone (757) 975-4695

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.75 of 100Reported as individual
Quality
91.82
Promoting interoperability
100
Improvement activities
40
Cost
74.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Feb 1, 2020 Accepting new patients
First Colonial Psychotherapy Services CurrentSince Oct 1, 2020 Accepting new patients
Atlantic Internal Medicine Internal Medicine CurrentSince Oct 14, 2020 Accepting new patients
Tidewater Physicians Multispecialty Group PC Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Hyperbaric Physician Services LLC Past Accepting new patients
Tidewater Diagnostic Interpreters,Inc Internal Medicine Past Accepting new patients
Hyperbaric Physician Services LLC Past Accepting new patients
WCS Professional Services of Virginia, LLC Past Accepting new patients

Locations

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

171 Kempsville Rd
Bldg A
Norfolk, VA 23502
Phone (757) 668-6550

1232 Perimeter Pkwy
Ste 205
Virginia Beach, VA 23454
Phone (757) 448-5451

1232 Perimeter Pkwy
Ste 206
Virginia Beach, VA 23454
Phone (757) 428-7500

307 Cook Rd
Yorktown, VA 23690
Phone (757) 898-7261

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22675/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: ramon.matawaran.1@22675.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1467427773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 PERIMETER PKWY STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545924",
            "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": [
        {
            "address_1": "1168 First Colonial Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542426",
            "country_code": "US",
            "telephone_number": "757-481-1113",
            "fax_number": "757-496-3822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1253 Nimmo Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "23456",
            "country_code": "US",
            "telephone_number": "757-821-2088",
            "fax_number": "757-821-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATAWARAN",
        "first_name": "RAMON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101039962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005841224",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.