Individual provider Active NPI

Andres Matoso

  • Anatomic Pathology & Clinical Pathology Physician
  • Baltimore, MD
National Provider Identifier
1316129604
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D73547 Issued in MD
Practice address
401 N Broadway St
Baltimore, MD 21287-0019
Phone
(410) 955-4053
Fax
(410) 614-1287
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X LP01285 RI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D73547 MD Primary

Addresses

Primary practice location

401 N Broadway St
Baltimore, MD 21287-0019

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Other practice location 1

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140825001254 RI Practitioner - Pathology 8022236587 Reassigns benefits to 1 organization
I20170105001498 MD Practitioner - Pathology 8022236587 Reassigns benefits to 2 organizations
I20170209001362 DC Practitioner - Pathology 8022236587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians
University Pathologists, LLCGroup PAC ID 4981780061, 20 clinicians

Practice addresses (Care Compare)

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

5255 Loughboro Rd NW
Sibley Memorial Hosp
Washington, DC 20016-2633
Phone (202) 537-4000

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544

5755 Cedar LN
Columbia, MD 21044-2999
Phone (410) 740-7890

5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

7117 York Rd
Baltimore, MD 21212-1526
Phone (401) 921-0252

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2109

Hospital & facility affiliations

  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP01285RIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jan 1, 2017 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2017 Accepting new patients
Johns Hopkins University Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2017 Accepting new patients
University Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2025 Accepting new patients
University Pathologists Diagnostics LLC PastSince Apr 20, 2021 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

67 Slades Ferry Ave
Ste 6720
Somerset, MA 02726
Phone (401) 921-0252

401 N Broadway St
Baltimore, MD 21287
Phone (410) 955-5222

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Interoperability endpoints

  • Direct secure messaging: amatoso84684@direct.hopkinsmedicine.org

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 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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1316129604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROADWAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870019",
            "telephone_number": "410-955-4053",
            "fax_number": "410-614-1287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOSO",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "RI",
            "license": "LP01285",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D73547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.