Organization Active NPI

Matcare, LLC

  • Internal Medicine Physician
  • Annapolis, MD
National Provider Identifier
1194711820
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0052023 Issued in MD
Legal business name
MATCARE, LLC
Practice address
133 Defense Hwy
Suite 111
Annapolis, MD 21401-7098
Phone
(410) 224-2255
Fax
(410) 224-0726
NPI assigned
Sep 27, 2005
Last updated
Dec 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Mrs. Maria E Romero, MDNPI 1336328079
Title
Medical Doctor
Phone
(410) 224-2255

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0052023 MD Primary

Addresses

Primary practice location

133 Defense Hwy
Suite 111
Annapolis, MD 21401-7098

Mailing address

133 Defense Hwy
Suite 111
Annapolis, MD 21401-7098
Phone (410) 224-2255

Other identifiers 3

IdentifierTypeStateIssuer
G5730001OtherMDFEP BCBS
KDNSOtherMDBCBS
956610400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051115000511 MD Part B Supplier - Clinic/Group Practice 3577582956 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0219705Matcare, LLC133 Defense Hwy Suite 111, Annapolis, MD 21401Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory

Locations

122 Defense Hwy
Ste 200
Annapolis, MD 21401
Phone (410) 224-2255

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4288/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1194711820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY",
            "address_2": "SUITE 111",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017098",
            "telephone_number": "410-224-2255",
            "fax_number": "410-224-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY",
            "address_2": "SUITE 111",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017098",
            "telephone_number": "410-224-2255",
            "fax_number": "410-224-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "410-224-2255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0052023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP BCBS",
            "identifier": "G5730001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KDNS",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956610400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.