Active NPI
Manoj Mathew, MD
- Aerospace Medicine Physician
- Fort George G Meade, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 59999-20
- Practice address
- 9800 Savage Rd
Fort George G Meade, MD 20755-5999 - Phone
- (443) 479-0353
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetology (Internal Medicine) Physician | 207QB0505X | D0105915 | MD | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | D0105915 | MD | |
| Aerospace Medicine Physician | 2083A0100X | D0105915 | MD | |
| Internal Medicine Physician | 207R00000X | D0105915 | MD | |
| General Practice Physician | 208D00000X | D0105915 | MD | |
| Internal Medicine Physician | 207R00000X | 5999-20 | WI | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 59999-20 | WI | |
| Primary Care Clinic/Center | 261QP2300X | 59999-20 | WI | |
| Aerospace Medicine Physician | 2083A0100X | 59999-20 | WI | Primary |
| Military Health Care Provider | 171000000X | 59999-20 | WI | |
| Military Health Care Provider | 171000000X | D0105915 | MD |
Addresses
Primary practice location
9800 Savage Rd
Fort George G Meade, MD 20755-5999
Mailing address
11500 Alcinda LN
North Potomac, MD 20878-2427
Phone (713) 530-8665
Other practice location 1
21044 Frederick Rd
Germantown, MD 20876-4132
Phone (240) 238-5432
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MDExchange@patientfirst.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, WI, VA, TX, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11500 Alcinda LN
North Potomac, MD 20878-2427
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
5000 Cox Rd
Glen Allen, VA 23060-9263
5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0105915 | MD | MD | Military Health Care Provider |
| 5999-20 | WI | MD | Internal Medicine Physician |
| 59999-20 | WI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
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.
-
- Family Medicine Physician
- Silver Spring, MD
- NPI 1265866503
DC
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1962423632
MD
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MD, PA, WI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1346535838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 ALCINDA LN",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782427",
"telephone_number": "713-530-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 SAVAGE RD",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555999",
"telephone_number": "443-479-0353"
}
],
"practiceLocations": [
{
"address_1": "21044 Frederick Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208764132",
"country_code": "US",
"telephone_number": "240-238-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEW",
"first_name": "MANOJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QB0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Diabetology",
"state": "MD",
"license": "D0105915",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MD",
"license": "D0105915",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "MD",
"license": "D0105915",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0105915",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "MD",
"license": "D0105915",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "5999-20",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "WI",
"license": "59999-20",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "WI",
"license": "59999-20",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "WI",
"license": "59999-20",
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "WI",
"license": "59999-20",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Military Health Care Provider",
"state": "MD",
"license": "D0105915",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MDExchange@patientfirst.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "21044 Frederick Rd",
"city": "Germantown",
"state": "MD",
"country_code": "US",
"postal_code": "208764132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.