NPIMap

Individual provider Active NPI

Matthew Peter Mardiney Sr., M.D.

  • Allergy & Immunology Physician
  • Bel Air, MD
National Provider Identifier
1144271073
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0054372 Issued in MD
Practice address
2225 Old Emmorton Rd
Suite 111
Bel Air, MD 21015-6129
Phone
(443) 987-6998
Fax
(443) 557-6699
NPI assigned
May 15, 2006
Last updated
Sep 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D0054372 MD Primary

Addresses

Primary practice location

2225 Old Emmorton Rd
Suite 111
Bel Air, MD 21015-6129

Mailing address

1300 York Rd
Suite 30D
Lutherville, MD 21093-6016
Phone (443) 519-2128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000382 MD Practitioner - Allergy/Immunology 1456371970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew P Mardiney MD PCGroup PAC ID 7911163464, 4 clinicians

Practice addresses (Care Compare)

1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 519-2128

2225 Old Emmorton Rd
Suite 111
Bel Air, MD 21015-6122
Phone (443) 987-6998

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054372MDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew P Mardiney MD PC Allergy & Immunology CurrentSince Jun 1, 2012 Accepting new patients
Michael R Mardiney Jr MD PA Allergy & Immunology Past Accepting new patients
Michael Mardiney, III, M.D. P.a. Allergy & Immunology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2225 Old Emmorton Rd
Ste 111
Bel Air, MD 21015
Phone (410) 741-3440

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

Interoperability endpoints

  • Direct secure messaging: mmardiney149421@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1144271073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "address_2": "SUITE 30D",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "443-519-2128",
            "fax_number": "443-557-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON RD",
            "address_2": "SUITE 111",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156129",
            "telephone_number": "443-987-6998",
            "fax_number": "443-557-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDINEY",
        "first_name": "MATTHEW",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0054372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.