Active NPI
Nalin Mathur MD PA
- Internal Medicine Physician
- Waldorf, MD
National Provider Identifier
1043548464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0052289
- Legal business name
- NALIN MATHUR MD PA
- Practice address
- 11855 Holly LN Ste 107
Waldorf, MD 20601-3114 - Phone
- (301) 638-2733
- Fax
- (301) 638-3377
- NPI assigned
- Nov 23, 2009
- Last updated
- Nov 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nalin Mathur, MD PA
- Title
- President/Owner
- Phone
- (301) 638-2733
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0052289 | MD | Primary |
Addresses
Primary practice location
11855 Holly LN Ste 107
Waldorf, MD 20601-3114
Mailing address
2802 Holland CT
Alexandria, VA 22306-3116
Phone (301) 638-2733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11855 Holly Ln
Ste 107
Waldorf, MD 20601
Phone (301) 638-2733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Waldorf, MD
- NPI 1891791935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258934400000",
"number": "1043548464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 HOLLAND CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063116",
"telephone_number": "301-638-2733",
"fax_number": "301-638-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11855 HOLLY LN STE 107",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013114",
"telephone_number": "301-638-2733",
"fax_number": "301-638-3377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NALIN MATHUR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A",
"authorized_official_last_name": "MATHUR",
"authorized_official_first_name": "NALIN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "301-638-2733",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0052289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
- Seetaramayya Nagula, M.D.
- Nai Saturn Eastern LLC (Safeway Pharmacy #2661)
- Nai Saturn Eastern LLC (Safeway Pharmacy #0105)
- Nai Saturn Eastern LLC (Safeway Pharmacy #2661)
- Nai Saturn Eastern LLC (Safeway Pharmacy #0105)
- Ghislaine Nana Fankem
- Anish Nanavati
- Uday B Nanavaty, MD
- Tyjia Nance
- Sailaja Nandipati
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.