Individual provider Active NPI

Mukesh N Mathur, M.D.

  • Internal Medicine Physician
  • Huntingtown, MD
National Provider Identifier
1295769834
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D-0025435 Issued in MD
Practice address
3995 Old Town Rd
Suite 202
Huntingtown, MD 20639-3041
Phone
(410) 535-1451
Fax
(410) 535-9620
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D-0025435 MD Primary

Addresses

Primary practice location

3995 Old Town Rd
Suite 202
Huntingtown, MD 20639-3041

Mailing address

Calvert Internal Medicine Group, P.a.
985 Prince Frederick Blvd., Ste 201
Prince Frederick, MD 20678-3042
Phone (410) 535-2005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122001127 MD Practitioner - Internal Medicine 4789870312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

14090 HG Trueman Rd
Suite 2500
Solomons, MD 20688-3151
Phone (410) 535-2005

3995 Old Town Rd
Suite 202
Huntingtown, MD 20639-3041
Phone (410) 535-1451

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Hospital & facility affiliations

  • Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D-0025435MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Internal Medicine Group PA Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients

Locations

3995 Old Town Rd
Ste 202
Huntingtown, MD 20639
Phone (301) 870-0660

985 Prince Frederick Blvd
Ste 201
Prnc Frederck, MD 20678
Phone (410) 414-5329

205 Steeple Chase Dr
Ste 304
Prnc Frederck, MD 20678
Phone (443) 486-4088

Interoperability endpoints

  • Direct secure messaging: mukeshm@calvertinternalmedicine.medentdirect.com
  • Direct secure messaging: mukesh.mathur.1@19527.direct.athenahealth.com

Organizations & group practices 2

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 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1295769834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALVERT INTERNAL MEDICINE GROUP, P.A.",
            "address_2": "985 PRINCE FREDERICK BLVD., STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783042",
            "telephone_number": "410-535-2005",
            "fax_number": "443-432-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 OLD TOWN RD",
            "address_2": "SUITE 202",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206393041",
            "telephone_number": "410-535-1451",
            "fax_number": "410-535-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "MUKESH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D-0025435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingtown, MD

Sources for this page

Verify at the official NPI Registry.