Active NPI
Matthew S Wishnoff
- Surgery Physician
- Richmond, VA
National Provider Identifier
1831741321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101286446
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5023 - Phone
- (804) 827-1207
- Fax
- (804) 827-0285
- NPI assigned
- Jul 15, 2019
- Last updated
- Aug 14, 2026
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101286446 | VA | Primary |
| Surgical Critical Care Physician | 2086S0102X | 0101286446 | VA |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5023
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 827-1207
Other practice location 2
1201 E Marshall St
Richmond, VA 23298-5026
Phone (804) 828-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Commonwealth University Health System Authority | Past | Accepting new patients | |
| MCV Associated Physicians | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba VCU Health System Pharmacy
- Clinic Pharmacy
- Richmond, VA
- NPI 1659456077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1831741321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985023",
"telephone_number": "804-827-1207",
"fax_number": "804-827-0285"
}
],
"practiceLocations": [
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-827-1207",
"fax_number": "804-827-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985026",
"country_code": "US",
"telephone_number": "804-828-9788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISHNOFF",
"first_name": "MATTHEW",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101286446",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "0101286446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.