Individual provider Active NPI

Matthew J. Hengy, D.O.

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1801885157
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102200840 Issued in VA
Practice address
6307 Harrison Rd
Fredericksburg, VA 22407-6363
Phone
(540) 548-8686
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102200840 VA Primary

Addresses

Primary practice location

6307 Harrison Rd
Fredericksburg, VA 22407-6363

Mailing address

6307 Harrison Rd
Fredericksburg, VA 22407-6363
Phone (540) 287-9066

Other identifiers 1

IdentifierTypeStateIssuer
5617588MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001142 VA Practitioner - Family Practice 4587658026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1601 Olde William St
Suite B
Fredericksburg, VA 22401-5525
Phone (540) 702-8320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Medical, P.C. Family Medicine CurrentSince Mar 31, 2004 Accepting new patients

Locations

1601 Olde William St
Ste B
Fredericksburg, VA 22401
Phone (540) 371-4004

4300 Plank Rd
Ste 140
Fredericksburg, VA 22407
Phone (540) 548-8686

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1801885157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 HARRISON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076363",
            "telephone_number": "540-287-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 HARRISON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076363",
            "telephone_number": "540-548-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENGY",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102200840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5617588",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.