NPIMap

Individual provider Active NPI

Matthew Dellacona, D.O.

  • Family Medicine Physician
  • Tazewell, VA
National Provider Identifier
1881033058
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102204072 Issued in VA
Practice address
388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone
(276) 988-8740
Fax
(276) 988-5941
NPI assigned
Jun 20, 2013
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3070 WV
Family Medicine Physician 207Q00000X 0102204072 VA Primary

Addresses

Primary practice location

388 Ben Bolt Ave
Tazewell, VA 24651-5386

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170103001031 WV Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0648586552 Reassigns benefits to 4 organizations
Practice locations: Bluefield, WV
I20180905003329 VA Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 0648586552 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bland County Medical Clinic IncGroup PAC ID 2264326453, 20 clinicians

Practice addresses (Care Compare)

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone 2766884331316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3070WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bland County Medical Clinic, Inc. Current Accepting new patients
Tug River Health Association, Inc CurrentSince Nov 4, 2019 Accepting new patients
Bland County Medical Clinic, Inc. CurrentSince Nov 30, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 11, 2018 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Jun 27, 2018 Accepting new patients
Appalachian Mountains Medical, LLC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Integrated WV LLC Past Accepting new patients

Locations

12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626

8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Organizations & group practices 10

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 2

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1881033058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-8740",
            "fax_number": "276-988-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLACONA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

Verify at the official NPI Registry.