NPIMap

Individual provider Active NPI

Matthew Grey Beckwith, M.D.

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1235162280
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOO53634 Issued in MD
Practice address
24 N Walnut St Ste 100
Hagerstown, MD 21740-4741
Phone
(240) 452-3400
NPI assigned
Jul 9, 2006
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOO53634 MD Primary

Addresses

Primary practice location

24 N Walnut St Ste 100
Hagerstown, MD 21740-4741

Mailing address

24 N Walnut St Ste 100
Hagerstown, MD 21740-4741
Phone (240) 452-3400

Other identifiers 1

IdentifierTypeStateIssuer
400400100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100617000681 MD Practitioner - Family Practice 4183754146 Reassigns benefits to 2 organizations
I20130815000915 VA Practitioner - Family PracticePractitioner - Emergency Medicine 4183754146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

24 N Walnut St
Suite 100
Hagerstown, MD 21740-4741
Phone (240) 452-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOO53634MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Urgent Care, LLC CurrentSince Apr 18, 2014 Accepting new patients
Medical Practices of Antietam, LLC Family Medicine CurrentSince Jul 1, 2001 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jul 1, 2001 Accepting new patients
Beckwith Integrative Medicine, PLLC CurrentSince Oct 6, 2019 Accepting new patients
Meritus Urgent Care LLC CurrentSince Apr 18, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

24 N Walnut St
Ste 100
Hagerstown, MD 21740
Phone (240) 452-3400

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

952 Edwards Ferry Rd NE
Leesburg, VA 20176
Phone (240) 379-7776

Organizations & group practices 8

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 3

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1235162280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N WALNUT ST STE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404741",
            "telephone_number": "240-452-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N WALNUT ST STE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404741",
            "telephone_number": "240-452-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "MATTHEW",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "DOO53634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400400100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.