Individual provider Active NPI

Kathleen Mathey, M.D.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1366547309
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0042844 Issued in MD
Practice address
6565 N Charles St Ste 411
Baltimore, MD 21204-5803
Phone
(443) 849-2707
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 D0042844 MD Primary

Addresses

Primary practice location

6565 N Charles St Ste 411
Baltimore, MD 21204-5803

Mailing address

PO Box 418953
Boston, MA 02241-8953

Other identifiers 1

IdentifierTypeStateIssuer
517340000MedicaidMD

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
I20050809000748 MD Practitioner - Family Practice 2769411859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

6535 N Charles St
100 Family Care Associates
Baltimore, MD 21204-5828
Phone (443) 849-2707

6569 N Charles St
Baltimore, MD 21204-5816

Hospital & facility affiliations

  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0042844MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Sep 6, 2011 Accepting new patients
Greater Baltimore Medical Center, Inc. Family Medicine CurrentSince Sep 6, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients

Locations

1017 E Baltimore St
Baltimore, MD 21202
Phone (410) 675-7500

6535 N Charles St
Ste 100
Towson, MD 21204
Phone (410) 580-2480

6565 N Charles St
Ste 411
Towson, MD 21204
Phone (410) 828-7417

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

Interoperability endpoints

  • Direct secure messaging: kmathey7531@gbmcdirect.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 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1366547309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418953",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 411",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045803",
            "telephone_number": "443-849-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEY",
        "first_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0042844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "517340000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.