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MIDDLE PENINSULA MEDICAL CENTER INC
NPI 1275085599
Internal Medicine in Mathews, VA

Active since November 03, 2016CLIA 49D2122671 · Waiver
9184 BUCKLEY HALL RD, MATHEWS, VA 23109(804) 725-0100(804) 725-3158 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Middle Peninsula Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDDLE PENINSULA MEDICAL CENTER INC (NPI 1275085599) is a healthcare organization registered as an internal medicine in Mathews, Virginia and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Thomas L. Wathen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1275085599
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIDDLE PENINSULA MEDICAL CENTER INC
Location Address9184 BUCKLEY HALL RDMathews, VA 23109-2309
Mailing AddressPo Box 1498Mathews, VA 23109-1498 · (804) 725-0100 · Fax (804) 725-3158
Phone(804) 725-0100
Fax(804) 725-3158
Organization SubpartNo
Authorized OfficialThomas L. WathenVice President · (804) 384-7902
Enumeration DateNovember 3, 2016
Last NPPES UpdateNovember 4, 2016
✔ NPI 1275085599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9184 BUCKLEY HALL RD, Mathews, VA 23109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Middle Peninsula Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Middle Peninsula Medical Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Christian Wathen, M.D.
Internal Medicine
NPI 1457384232
9184 BUCKLEY HALL RD
Mathews, VA 23109
(804) 725-0100
✔ PECOS✔ Accepts MedicareSame address
Kimberly Burnett, FNP
Nurse Practitioner
NPI 1720304967
9184 BUCKLEY HALL RD
Mathews, VA 23109
(804) 725-0100
✔ PECOS✔ Accepts MedicareSame address
Leah Hurst, FNP-C
Nurse Practitioner
NPI 1912538182
9184 BUCKLEY HALL RD
Mathews, VA 23109
(804) 725-0100
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2122671

Middle Peninsula Medical Center, Incorporated · Mathews, VA
Active · expires Dec 4, 2026
CLIA Number49D2122671
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorChristian F. Wathen
Laboratory Phone(804) 725-0100
Laboratory LocationMiddle Peninsula Medical Center, Incorporated9184 Buckley Hall Road, Mathews, VA 23109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Middle Peninsula Medical Center Inc's NPI number?

The NPI number for Middle Peninsula Medical Center Inc is 1275085599. It was assigned to this organization in the NPPES registry on November 3, 2016.

Where is Middle Peninsula Medical Center Inc located?

Middle Peninsula Medical Center Inc is located at 9184 Buckley Hall Rd, Mathews, VA 23109. The listed phone number is (804) 725-0100.

What is Middle Peninsula Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Middle Peninsula Medical Center Inc enrolled in Medicare?

Yes. Middle Peninsula Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Middle Peninsula Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Middle Peninsula Medical Center Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Middle Peninsula Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2122671) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Middle Peninsula Medical Center Inc was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.