Individual provider Active NPI

Matthew L. Whitted, MD

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1932145554
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101044724 Issued in VA
Practice address
300 Medical Pkwy Ste 120
Chesapeake, VA 23320-4985
Phone
(757) 547-4500
Fax
(757) 547-4502
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101044724 VA Primary

Addresses

Primary practice location

300 Medical Pkwy Ste 120
Chesapeake, VA 23320-4985

Mailing address

300 Medical Pkwy Ste 120
Chesapeake, VA 23320-4985
Phone (757) 547-4500

Other identifiers 1

IdentifierTypeStateIssuer
6202152MedicaidVA

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
I20100322000243 VA Practitioner - Obstetrics/Gynecology 3173591641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Obstetrics and Gynecology, P. C.Group PAC ID 4082602669, 2 clinicians

Practice addresses (Care Compare)

713 Volvo Pkwy
Suite 200
Chesapeake, VA 23320-1614
Phone (757) 547-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Obstetrics and Gynecology, P. C. Obstetrics & Gynecology CurrentSince Jul 1, 1990 Accepting new patients

Locations

713 Volvo Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 282-4150

1224 Progressive Dr
#200
Chesapeake, VA 23320
Phone (757) 547-4500

300 Medical Pkwy
Ste 120
Chesapeake, VA 23320
Phone (757) 252-5660

Interoperability endpoints

  • Direct secure messaging: matthew.whitted.1@18675.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1932145554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 120",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-547-4500",
            "fax_number": "757-547-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 120",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-547-4500",
            "fax_number": "757-547-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "MATTHEW",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101044724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6202152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.