James Matthew Halverson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102049844 Issued in VA

Practice address

11835 Fishing Point Dr
Suite 104
Newport News, VA 23606-2584

Phone

(757) 599-5588

Fax

(757) 599-6893

NPI assigned

Aug 24, 2005

Reactivated

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• J Matthew Halverson Other name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

James River Family Practice LLCGroup PAC ID 6103977616, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Commonwealth Home Care Home health agency, Portsmouth, VA, CCN 497775
• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
• Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
• Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
• Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• James River Family Practice, LLC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1427290352

  Family Medicine, VA

  Medicare reassignment Care Compare group NPD Authorized official
• James River Family Practice, LLC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1811914872

  Family Medicine

  NPD (past) Authorized official
• Riverside Emergency Physicians LLP

  • Emergency Medicine Physician
  • Gloucester, VA
  • NPI 1609891746
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Hopewell, VA
  • NPI 1659396646
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• American Home Healthcare

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1386277648
  Care Compare affiliation
• Riverside Hospital Inc

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747

  Hospital

  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Hampton, VA
  • NPI 1336109107

  Hospital

  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Suffolk, VA
  • NPI 1376540138

  Hospital

  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Williamsburg, VA
  • NPI 1619938149

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1902899016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 FISHING POINT DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062584",
            "telephone_number": "757-599-5588",
            "fax_number": "757-599-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 FISHING POINT DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062584",
            "telephone_number": "757-599-5588",
            "fax_number": "757-599-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2019-04-25",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15143",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102049844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00Y043J02",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTN",
            "identifier": "C10736",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902899016",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "HALVERSON",
            "middle_name": "MATTHEW",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelli L Hall, MD
• Kweli Jeuri Hall
• Nicola J Hall, LPC, CSAC
• Kendall Kyle Halls, LDO
• Halo Gala Hair Co
• Jennifer Lynn Hambright, MSW, LCSW
• Khalid M Hamid, MD
• James Hamill, MD
• James Ryan Hamilton, PA-C
• Gretchen Anne Hamman

• Family Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.

Verify at the official NPI Registry.