Active NPI
Esther Matias, MD
- Internal Medicine Physician
- Alexandria, VA
National Provider Identifier
1770576266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101026167
- Practice address
- 1707 Belle View Blvd
A-2
Alexandria, VA 22307-6727 - Phone
- (703) 765-3520
- Fax
- (703) 765-9718
- NPI assigned
- Aug 30, 2005
- Last updated
- Apr 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101026167 | VA | Primary |
Addresses
Primary practice location
1707 Belle View Blvd
A-2
Alexandria, VA 22307-6727
Mailing address
1707 Belle View Blvd
A-2
Alexandria, VA 22307-6727
Phone (703) 765-3520
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5850134 | Medicaid | VA | |
| 26070001 | Other | DC | CARE FIRST |
| 5411127240004 | Other | MD | CIGNA |
| 067105 | Other | VA | BCBS - TRIGON HLTH KEEPER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080808000042 | DC | Practitioner - Internal Medicine | 1557435666 | Practice locations: Alexandria, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1770576266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 BELLE VIEW BLVD",
"address_2": "A-2",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223076727",
"telephone_number": "703-765-3520",
"fax_number": "703-765-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 BELLE VIEW BLVD",
"address_2": "A-2",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223076727",
"telephone_number": "703-765-3520",
"fax_number": "703-765-9718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "ESTHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101026167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5850134",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "26070001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5411127240004",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - TRIGON HLTH KEEPER",
"identifier": "067105",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.