Individual provider Active NPI

Matthew Mintz, M.D.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1063584951
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0072166 Issued in MD
Practice address
6000 Executive Blvd Ste 315
Rockville, MD 20852-3803
Phone
(855) 646-8963
Fax
(855) 646-8963
NPI assigned
Nov 15, 2006
Last updated
Jan 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 30157 DC
Internal Medicine Physician 207R00000X D0072166 MD Primary

Addresses

Primary practice location

6000 Executive Blvd Ste 315
Rockville, MD 20852-3803

Mailing address

6000 Executive Blvd Ste 315
Rockville, MD 20852-3803
Phone (855) 646-8963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 30157DCMDInternal Medicine Physician
D0072166MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Depression and Pain LLC Internal Medicine Current Accepting new patients
Matthew Mintz MD LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10401 Old Georgetown Rd
Ste 305
Bethesda, MD 20814
Phone (301) 530-9490

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1063584951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 315",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "855-646-8963",
            "fax_number": "855-646-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 315",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "855-646-8963",
            "fax_number": "855-646-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD 30157",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0072166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.