Individual provider Active NPI

Matthew Irwin, MD

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1831157601
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101234508 Issued in VA
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

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000624 DC Practitioner - Family PracticePractitioner - Hospice/Palliative Care 8729027719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101234508VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Palliative Care Consultants, LLC CurrentSince Aug 1, 2004 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.