Individual provider Active NPI

Matthew D'Aria

  • Registered Dietitian
  • Fredericksburg, VA
National Provider Identifier
1750825519
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86001944 Issued in VA
Practice address
4528 Plank Rd
Fredericksburg, VA 22407-0141
Phone
(540) 841-4443
NPI assigned
Dec 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306602390 VA
Registered Dietitian 133V00000X 86001944 VA Primary

Addresses

Primary practice location

4528 Plank Rd
Fredericksburg, VA 22407-0141

Mailing address

2730 Chartstone Dr
Midlothian, VA 23113-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201214001201 VA Practitioner - Registered Dietitian Or Nutrition Professional 3678985827 Reassigns benefits to 1 organization
I20220616001585 RI Practitioner - Registered Dietitian Or Nutrition Professional 3678985827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Virginia Tech Carilion School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

166 Valley St
BLDG 6M
Providence, RI 02909-2400
Phone (804) 986-0402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86001944VAMDRegistered Dietitian
2306602390VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MJD Nutrition Dietitian, Registered CurrentSince Sep 3, 2020 Accepting new patients
Global Healthcare Services, LLC Physical Therapy Assistant Past Accepting new patients

Locations

166 Valley St
Ste 6M103
Providence, RI 02909
Phone (401) 203-7366

4528 Plank Rd
Ste A2
Fredericksburg, VA 22407
Phone (540) 841-4443

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1750825519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 CHARTSTONE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070141",
            "telephone_number": "540-841-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ARIA",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602390",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86001944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.

Verify at the official NPI Registry.