Active NPI
Matthew Irwin, MD
- Family Medicine Physician
- Falls Church, VA
National Provider Identifier
1831157601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101234508
- Practice address
- 2900 Telestar CT
Falls Church, VA 22042-1206 - Phone
- (703) 396-6197
- Fax
- (703) 779-1372
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101234508 | VA | Primary |
| Family Medicine Physician | 207Q00000X | MD034928 | DC |
Addresses
Primary practice location
2900 Telestar CT
Falls Church, VA 22042-1206
Mailing address
2900 Telestar CT
Falls Church, VA 22042-1206
Phone (703) 396-6197
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234508 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Palliative Care Consultants, LLC | Current | Accepting new patients | |
| Capital Hospice | Family Medicine | Past | Accepting new patients |
| Capital Palliative Care Consultants, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2900 Telestar Ct
Falls Church, VA 22042
Phone (703) 538-2065
3180 Fairview Park Dr
Ste 500
Falls Church, VA 22042
Phone (703) 485-8949
209 Gibson St NW
Ste 202
Leesburg, VA 20176
Phone (703) 396-6194
Interoperability endpoints
- matthew.irwin.1@22792.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Falls Church, VA
- NPI 1275541013
DC
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Largo, MD
- NPI 1891011151
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1831157601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 TELESTAR CT",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421206",
"telephone_number": "703-396-6197",
"fax_number": "703-779-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 TELESTAR CT",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421206",
"telephone_number": "703-396-6197",
"fax_number": "703-779-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101234508",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD034928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.