Individual provider Active NPI

Matthew Glenn Mullinix

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1245461151
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
400 W 7TH St
Frederick, MD 21701-4506
Phone
(240) 566-3500
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

400 W 7TH St
Frederick, MD 21701-4506

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, OK, IL, DC, CO, PA, TX, KY, NC9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20131206001226 MD Practitioner - Physician Assistant 9133115959 Reassigns benefits to 3 organizations
I20241223002519 OK Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization
I20241224001095 IL Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization
I20241226000432 DC Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization
I20250131000372 CO Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization
I20250225001021 PA Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization
I20250407001972 TX Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization
I20250414000531 KY Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization
I20250703001541 NC Practitioner - Physician Assistant 9133115959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
Hospitalist Medicine Physicians of Maryland-Frederick PCGroup PAC ID 3577975408, 10 clinicians

Practice addresses (Care Compare)

1 Price Dr
Elkton, MD 21921-6731
Phone (410) 398-6474

100 9TH St
McKeesport, PA 15132-3952
Phone (412) 675-8600

1030 State St
Baden, PA 15005-1338
Phone (724) 869-6300

109 Forest Valley Dr
Forest Hill, MD 21050-2831
Phone (410) 838-0101

1105 Perry Hwy
Pittsburgh, PA 15237-2114
Phone (412) 369-9955

1235 Potomac Valley Rd
Rockville, MD 20850-2757
Phone (301) 762-0700

17351 Melford Blvd
Bowie, MD 20715-4457
Phone (240) 548-1300

174 Virginia Ave
Rochester, PA 15074-1723
Phone (724) 775-6400

2131 O St NW
Washington, DC 20037-1008
Phone (202) 785-2577

2741 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 344-6121

2751 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 468-8410

300 Saint Luke Cir
Westminster, MD 21158-4174
Phone (410) 848-0090

400 W 7TH St
Frederick Health Hospital
Frederick, MD 21701-4506
Phone (840) 566-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland-Frederick PC CurrentSince Feb 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Oct 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

Interoperability endpoints

  • Direct secure messaging: matthew.mullinix@488678167609348.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1245461151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINIX",
        "first_name": "MATTHEW",
        "middle_name": "GLENN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.