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

Dr. Matthew Ellenberg, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427635150

Dr. Matthew Ellenberg, DO is an Emergency Medicine in Richmond, Virginia. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2021, 5 years ago. Practices with J C Blair Memorial Hospital, a 98-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
5
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
PA, VA
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5801 Bremo Rd
Richmond, VA 23226-1907
Phone: (804) 285-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0102210171 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence OT022091 (PA)

Record details

NPI number1427635150
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 27, 2021
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address5801 Bremo Rd, Richmond, VA 23226-1900

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2021 (5 years in practice)
Group practice J C Blair Memorial Hospital — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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