Jonathan Matz, M.D.
Individual provider Active NPI Allergy Physician · White Marsh, MD
NPI 1013966100 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1013966100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy Physician 207KA0200X
- License
- D0043318 (MD)
- Practice address
- 5430 Campbell Blvd Ste 103
White Marsh, MD 21162-5503 - Phone
- (410) 933-9404
- Fax
- (410) 933-9405
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- George Washington University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sudhir Sekhsaria M. D. P.C.
Practice addresses (Care Compare)
3333 N Calvert St
520 Allergy Asthma Specialists of Maryland
Baltimore, MD 21218-5503
Phone (410) 554-6516
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040513001209 | MD | Practitioner - Allergy/Immunology | 1153311915 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0043318 | MD | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sudhir Sekhsaria M. D. P.C. | Current |
Accepting new patients | |
| Asthma, Allergy and Sinus Center | Past |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3333 N Calvert St
Ste 520
Baltimore, MD 21218
Phone (410) 554-6516
3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405
12 Medstar Blvd
Ste 280
Bel Air, MD 21015
Phone (410) 638-5110
25 Crossroads Dr
Ste 410
Owings Mills, MD 21117
Phone (410) 363-2233
5430 Campbell Blvd
Ste 103
White Marsh, MD 21162
Phone (410) 933-9404
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBAABD/Endpoint/GBAABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | D0043318 | MD | Yes |
Addresses
Primary practice location
5430 Campbell Blvd Ste 103
White Marsh, MD 21162-5503
Mailing address
5430 Campbell Blvd Ste 103
White Marsh, MD 21162-5503
Phone (410) 933-9404
Other practice location 1
25 Crossroads Dr Ste 410
Owings Mills, MD 21117-5439
Phone (410) 363-6144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123991100 | Medicaid | MD |
Other providers in White Marsh, MD
- Michelle Lopez
- Lorraine Ofori-Awuah MD PA
- Robert Madison
- Maryland Interventional Pain Management LLC
- Maryland Interventional Pain Management, LLC
- Alicia Lajuan Medina
- Megasource Providers Inc.
- Julien Mignon
- Mohamad Alabrash, M.D.
- Monarch Xpress Health LLC
All providers in White Marsh, MD · Allergy Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.