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KIMBERLY ANN MATZIE MD NPI 1861579898


NPI Information

NPI: 1861579898
Provider Name: KIMBERLY ANN MATZIE, MD
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2710 PROSPERITY AVE
SUITE 200
FAIRFAX, VA
ZIP 22031
Phone: (703) 280-2841
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Kimberly Ann Matzie, MD is a colon rectal surgery in Fairfax, VA with 22 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Kimberly Ann Matzie, MD NPI is 1861579898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2002

The provider's business location address is:

2710 PROSPERITY AVE
SUITE 200
FAIRFAX, VA
ZIP 22031-357
Phone: (703) 280-2841
Fax: (703) 280-4773

The NPI 1861579898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of the anus using an endoscope (HCPCS:46600)
  • Removal of hemorrhoid by rubber banding (HCPCS:46221)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery224443MASSACHUSETTSNo
2208C00000XColon & Rectal Surgery0101248220VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861579898MEDICAIDVIRGINIA
2196265ZFA8MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.