NPIMap

Individual provider Active NPI

Matthew Seth Graupman, P.A.-C

  • Physician Assistant
  • North Chesterfield, VA
National Provider Identifier
1861741522
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004015 Issued in VA
Practice address
1400 Johnston Willis Dr
Suite a
North Chesterfield, VA 23235-4765
Phone
(804) 379-8088
Fax
(804) 794-6067
NPI assigned
Sep 9, 2012
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004015 VA Primary
Surgical Physician Assistant 363AS0400X VA

Addresses

Primary practice location

1400 Johnston Willis Dr
Suite a
North Chesterfield, VA 23235-4765

Mailing address

1115 Boulders Pkwy
Suite 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595

Other identifiers 1

IdentifierTypeStateIssuer
1861741522MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgraupman6952@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131011001659 VA Practitioner - Physician Assistant 2961636659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

13710 St Francis Blvd
Midlothian, VA 23114-3267

1510 N 28TH St
Richmond, VA 23223-5311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004015VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc Physician Assistant CurrentSince Jul 16, 2013 Accepting new patients
Orthovirginia, Inc CurrentSince Jul 16, 2013 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 1, 2023 Accepting new patients
Orthovirginia Inc Physician Assistant Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1400 Johnston Willis Dr
Ste A
North Chesterfield, VA 23235
Phone (804) 379-8088

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1347148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1861741522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY",
            "address_2": "SUITE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-560-5595",
            "fax_number": "804-560-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JOHNSTON WILLIS DR",
            "address_2": "SUITE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354765",
            "telephone_number": "804-379-8088",
            "fax_number": "804-794-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUPMAN",
        "first_name": "MATTHEW",
        "middle_name": "SETH",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-09",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004015",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861741522",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgraupman6952@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1400 Johnston Willis Dr",
            "address_2": "Suite A",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232354765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.