NPIMap

Individual provider Active NPI

Matt Mathew, M.D.

  • Nephrology Physician
  • Roanoke, VA
National Provider Identifier
1902804180
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101039722 Issued in VA
Practice address
2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone
(540) 344-1400
Fax
(540) 344-7133
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101039722 VA Primary

Addresses

Primary practice location

2602 Franklin Rd SW
Roanoke, VA 24014-1010

Mailing address

2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone (540) 344-1400

Other identifiers 1

IdentifierTypeStateIssuer
6000886MedicaidVA

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
I20101019000158 VA Practitioner - NephrologyPractitioner - Internal Medicine 4880742204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Care of Virginia PCGroup PAC ID 9739174640, 19 clinicians

Practice addresses (Care Compare)

2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone (540) 343-5968

Hospital & facility affiliations

  • FMC - Friendship Manor Dialysis facility, Roanoke, VA, CCN 492610
  • Bma - Blue Ridge Dialysis facility, Bedford, VA, CCN 492558
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089

Merit-based Incentive Payment System (MIPS)

Final score
93.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care of Virginia PC Nephrology CurrentSince Nov 20, 1995 Accepting new patients
Fresenius Medical Care Roanoke Valley Dialysis, LLC PastSince Dec 1, 2010 Accepting new patients

Locations

2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968

Interoperability endpoints

  • Direct secure messaging: mattmathew@pcv.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1902804180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-344-1400",
            "fax_number": "540-344-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-344-1400",
            "fax_number": "540-344-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MATT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101039722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.