Individual provider Active NPI

Matthew Stich, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Richmond, VA
National Provider Identifier
1639268444
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
0101041202 Issued in VA
Practice address
6900 Atmore Dr
Richmond, VA 23225-5644
Phone
(804) 674-3000
NPI assigned
Oct 11, 2006
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
236037OtherDCPTAN
451960OtherVABCBS
006303242MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Matthew Stich, MD Ophthalmology CurrentSince Apr 17, 2000 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

Verify at the official NPI Registry.