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804 MED LLC
NPI 1760223390
Internal Medicine in Charlottesville, VA

Active since June 06, 2024
515 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903(434) 244-2000 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About 804 Med Llc NPPES

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

804 MED LLC (NPI 1760223390) is a healthcare organization registered as an internal medicine in Charlottesville, Virginia and active in the NPI registry since June 2024. The organization lists Matthew H Thompson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1760223390
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business Name804 MED LLC
Location Address515 RAY C HUNT DRCharlottesville, VA 22903-2981
Mailing Address425 N Arthur Ashe Blvd Apt 2Richmond, VA 23220-3306 · (804) 517-6853
Phone(434) 244-2000
Organization SubpartNo
Authorized OfficialMatthew H ThompsonPresident/owner · (804) 517-6853
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1760223390 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.
515 RAY C HUNT DR, Charlottesville, VA 22903
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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)

804 Med Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 804 Med LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Thompson, M.D.
Internal Medicine
NPI 1497142426
515 RAY C HUNT DR
Charlottesville, VA 22903
(434) 244-2000
✔ PECOS✔ Accepts MedicareSame address

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

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 804 Med LLC's NPI number?

The NPI number for 804 Med LLC is 1760223390. It was assigned to this organization in the NPPES registry on June 6, 2024.

Where is 804 Med LLC located?

804 Med LLC is located at 515 Ray C Hunt Dr, Charlottesville, VA 22903. The listed phone number is (434) 244-2000.

What is 804 Med LLC's specialty?

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

Is 804 Med LLC enrolled in Medicare?

Yes. 804 Med LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 804 Med LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to 804 Med LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 804 Med LLC was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.