Individual provider Active NPI

Maya Martin, PA-C

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1215779772
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7955 Tuckerman LN
Rockville, MD 20854-3243
Phone
(301) 299-3717
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

7955 Tuckerman LN
Rockville, MD 20854-3243

Mailing address

7955 Tuckerman LN
Rockville, MD 20854-3243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241106000774 DC Practitioner - Physician Assistant 1759815335 Reassigns benefits to 4 organizations
I20250307001497 MD Practitioner - Physician Assistant 1759815335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684

19825 Frederick Rd
Germantown, MD 20876-1309
Phone (240) 801-9944

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (866) 389-2727

6480 Old Waterloo Rd
Elkridge, MD 21075-6508
Phone (866) 389-2727

7955 Tuckerman LN
Rockville, MD 20854-3243
Phone (886) 389-2727

799 Rockville Pike
Rockville, MD 20852-1136
Phone (886) 389-2727

8197 Westside Blvd
Fulton, MD 20759-2590
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management LLC CurrentSince Mar 5, 2025 Accepting new patients
CRH MD Management LLC Single Specialty CurrentSince Mar 5, 2025 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1215779772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 TUCKERMAN LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 TUCKERMAN LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543243",
            "telephone_number": "301-299-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MAYA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.