Individual Healthcare Provider
Matthew J Moynihan, M.D.
Provider's NPPES record last updated: September 1, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063893717
- Primary Specialty
- Urology
- Practice Location
- Fairfax, Virginia
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:10 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Urology
Allopathic & Osteopathic Physicians
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Taxonomy code 208800000X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Urology (Virginia)
- 0101271565
- Student in an Organized Health Care Education/Training Program (Massachusetts)
- 264407
Practice Locations
Practice Location
8081 Innovation Park Dr Ste 500
Fairfax, Virginia 22031-4867
Phone: (571) 472-7040
Additional Practice Location
41 Mall Rd
Burlington, Massachusetts 01805-0001
Phone: (781) 744-5100
Additional Practice Location
3300 Gallows Rd
Falls Church, Virginia 22042-3307
Phone: (703) 776-4001
Fax: (703) 776-7113
Record Information
- Enumeration Date
- June 17, 2015
- Provider's NPPES Record Last Updated
- September 1, 2021
- Certification Date
- September 1, 2021
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue