Active NPI
Matthew Joseph Dulan, PA-C
- Physician Assistant
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6120 Green Cap PL
Fairfax, VA 22030-5915 - Phone
- (571) 271-9850
- NPI assigned
- Jul 24, 2023
- Last updated
- Sep 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110009606 | VA | |
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
6120 Green Cap PL
Fairfax, VA 22030-5915
Mailing address
6120 Green Cap PL
Fairfax, VA 22030-5915
Phone (571) 271-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Centers for Advanced Orthopaedics LLC
Practice addresses (Care Compare)
11131 Journal Pkwy
Suite a
King George, VA 22485-3468
Phone (540) 709-5173
14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone (703) 490-1112
4900 Plank Rd
Suite 101
Fredericksburg, VA 22407-6626
Phone (540) 741-0679
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWHC Urgent Care LLC | Current | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients |
Locations
1340 Central Park Blvd
Ste 100
Fredericksburg, VA 22401
11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173
Interoperability endpoints
- mdulan126703@marywashingtonhealthcare.direct-ci.com
Organizations & group practices 3
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 Mary Washington Urgent Care
- Urgent Care Clinic/Center
- King George, VA
- NPI 1306405709
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1861172819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 GREEN CAP PL",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305915",
"telephone_number": "571-271-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 GREEN CAP PL",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305915",
"telephone_number": "571-271-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULAN",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110009606",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.