Individual provider Active NPI

Matthew Dopp, MD

  • Diagnostic Radiology Physician
  • Riverside, CA
National Provider Identifier
1922502343
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A164471 Issued in CA
Practice address
4445 Magnolia Ave Ofc
Gme Office
Riverside, CA 92501-4135
Phone
(951) 788-3000
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A164471 CA Primary

Addresses

Primary practice location

4445 Magnolia Ave Ofc
Gme Office
Riverside, CA 92501-4135

Mailing address

4445 Magnolia Ave Ofc
Gme Office
Riverside, CA 92501-4135

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250602000273 VA Practitioner - Diagnostic Radiology 2567902794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Radiological Associates LimitedGroup PAC ID 5991603573, 64 clinicians

Practice addresses (Care Compare)

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2200

19339 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone (757) 534-5000

202 Gumwood Dr
Smithfield, VA 23430-6087
Phone (757) 356-9346

20480 Market St
Onancock, VA 23417-4309
Phone (757) 414-8746

4273 Gwyn LN
Hayes, VA 23072-2660
Phone (757) 594-2911

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2911

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8856

895 City Ctr Blvd
Suite 104
Newport News, VA 23606-3080
Phone (757) 594-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164471CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Radiological Associates Limited Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Riverside Hospital Inc Past Accepting new patients

Locations

7519 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-8800

850 Enterprise Pkwy
Hampton, VA 23666
Phone (757) 594-2796

895 City Center Blvd
Ste 104
Newport News, VA 23606
Phone (757) 594-3900

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

20480 Market St
Onancock, VA 23417
Phone (757) 302-2100

202 Gumwood Dr
Smithfield, VA 23430
Phone (757) 356-9346

19339 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 534-5000

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

Interoperability endpoints

  • Direct secure messaging: mdopp94412@direct.llu.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1922502343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE OFC",
            "address_2": "GME OFFICE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE OFC",
            "address_2": "GME OFFICE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "951-788-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPP",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A164471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.