804 Med LLC
NPI 1760223390 · Internal Medicine Physician · Charlottesville, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
804 Med LLC is a Internal Medicine Physician organization in Charlottesville, VA (NPI 1760223390).
Provider details
- NPI number
- 1760223390
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Thompson, President/Owner(804) 517-6853
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Frequently asked questions
- What is 804 Med LLC's NPI number?
- 804 Med LLC's National Provider Identifier (NPI) is 1760223390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 804 Med LLC?
- 804 Med LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is 804 Med LLC located?
- 804 Med LLC's practice location on file with NPPES is 515 Ray C Hunt Dr, Charlottesville, VA 22903-2981.
- What is 804 Med LLC's phone number?
- The practice phone number listed in the NPPES registry for 804 Med LLC is (434) 244-2000.
- Does 804 Med LLC accept Medicare?
- 804 Med LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 804 Med LLC?
- The authorized official listed on 804 Med LLC's NPPES record is Matthew Thompson, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 804 Med LLC's NPI active?
- Yes — 804 Med LLC's NPI (1760223390) is active in the NPPES registry as of the last update on 2024-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.