Active NPI
Danielle K Matilsky, MD
- Emergency Medicine Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0086152
- Practice address
- 5755 Cedar LN
Columbia, MD 21044-2912 - Phone
- (410) 720-8482
- NPI assigned
- Apr 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD454668 | PA | |
| Emergency Medicine Physician | 207P00000X | D0086152 | MD | Primary |
Addresses
Primary practice location
5755 Cedar LN
Columbia, MD 21044-2912
Mailing address
5755 Cedar LN Dept of
Columbia, MD 21044-2912
Phone (410) 720-8482
Other practice location 1
2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020
Other practice location 2
2607 Rhawn St
Philadelphia, PA 19152-3038
Phone (215) 333-0304
Other practice location 3
2301 S Broad St Fl 1
Philadelphia, PA 19148-3542
Phone (215) 952-9136
Other practice location 4
1020 Sansom St Ste 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844
Other practice location 5
700 Walnut St
Philadelphia, PA 19106-3505
Phone (215) 503-7300
Other practice location 6
3400 Spruce St
Ground Ravdin
Philadelphia, PA 19104-4238
Phone (215) 662-6698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8025
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544
5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0086152 | MD | MD | Emergency Medicine Physician |
| MD454668 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Johns Hopkins University | Emergency Medicine | Current | Accepting new patients |
| University of Maryland Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients |
Locations
4940 Eastern Ave
Baltimore, MD 21224
821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
Interoperability endpoints
- dmatilsky1317606@direct.umm.edu
- dmatilsky477261@direct.hopkinsmedicine.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1144271743
-
dba Jefferson Urgent Care
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Jhu - Emergency Medicine
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1386631810
-
- Urgent Care Clinic/Center
- Flourtown, PA
- NPI 1245892314
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1730578667
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Johns Hopkins Howard County Medical Center
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
dba University of Maryland Medical Center Midtown Campus
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114293321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 CEDAR LN DEPT OF",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442912",
"telephone_number": "410-720-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 CEDAR LN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442912",
"telephone_number": "410-720-8482"
}
],
"practiceLocations": [
{
"address_1": "2021 Chestnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191033373",
"country_code": "US",
"telephone_number": "267-443-2020",
"fax_number": "215-640-8860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2607 Rhawn St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191523038",
"country_code": "US",
"telephone_number": "215-333-0304",
"fax_number": "215-333-1402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 S Broad St Fl 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191483542",
"country_code": "US",
"telephone_number": "215-952-9136",
"fax_number": "215-952-9138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 Sansom St Ste 239",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075002",
"country_code": "US",
"telephone_number": "215-955-6844",
"fax_number": "215-955-2526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Walnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191063505",
"country_code": "US",
"telephone_number": "215-503-7300",
"fax_number": "215-503-5666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce St",
"address_2": "Ground Ravdin",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "215-662-6698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATILSKY",
"first_name": "DANIELLE",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD454668",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0086152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.