Active NPI
Matthew Stich, MD
- Critical Care Medicine (Internal Medicine) Physician
- Richmond, VA
National Provider Identifier
1639268444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 0101041202
- Practice address
- 6900 Atmore Dr
Richmond, VA 23225-5644 - Phone
- (804) 674-3000
- NPI assigned
- Oct 11, 2006
- Last updated
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101041202 | VA | Primary |
| Ophthalmology Physician | 207W00000X | 0101041202 | VA |
Addresses
Primary practice location
6900 Atmore Dr
Richmond, VA 23225-5644
Mailing address
PO Box 248
Basye, VA 22810-0248
Phone (703) 494-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236037 | Other | DC | PTAN |
| 451960 | Other | VA | BCBS |
| 006303242 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120316000487 | DC | Practitioner - Ophthalmology | 0648439273 | Practice locations: Alexandria, VA |
| I20120409000037 | VA | Practitioner - Ophthalmology | 0648439273 | Practice locations: Woodbridge, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Stich, MD | Ophthalmology | Current | Accepting new patients |
Locations
113 N Washington St
Alexandria, VA 22314
Phone (703) 549-2828
6900 Atmore Dr
Richmond, VA 23225
Phone (804) 674-3578
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1639268444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "BASYE",
"state": "VA",
"postal_code": "228100248",
"telephone_number": "703-494-5200",
"fax_number": "888-534-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ATMORE DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232255644",
"telephone_number": "804-674-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICH",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101041202",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101041202",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "236037",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "451960",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006303242",
"state": "VA"
}
],
"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 Nov 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.