Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Fenlason

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790148039

Matthew Fenlason is a Family Practice in Williamsburg, Virginia. Qualified in 2016, 10 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Williamsburg, VA

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 10510 Jefferson Ave, Newport News, VA 23601-3102 — (757) 594-3800
  • 132 Professional Cir, Williamsburg, VA 23185 — (757) 232-8769

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01012205306 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790148039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2016
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Williamsburg