Individual provider Active NPI

Mathew Harrell, D.O

  • Neonatal-Perinatal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1396156949
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
H0097268 Issued in MD
Practice address
8901 Wisconsin Ave
Walter Reed National Military Medical Center
Bethesda, MD 20889-5600
Phone
(937) 371-9746
NPI assigned
May 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X H0097268 MD Primary
Pediatrics Physician 208000000X 0102204314 VA
Pediatrics Physician 208000000X H0097268 MD

Addresses

Primary practice location

8901 Wisconsin Ave
Walter Reed National Military Medical Center
Bethesda, MD 20889-5600

Mailing address

8901 Wisconsin Ave
Bethesda, MD 20889-0004

Other practice location 1

400 W 7th St
Frederick, MD 21701-4593
Phone (240) 566-3300

Other identifiers 1

IdentifierTypeStateIssuer
H0097268MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, 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
I20230605002693 HI Practitioner - Pediatric Medicine 8527338102 Reassigns benefits to 2 organizations
I20250130000042 MD Practitioner - Pediatric Medicine 8527338102 Reassigns benefits to 1 organization
I20250401003164 DC Practitioner - Pediatric Medicine 8527338102 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0097268MDMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Apr 17, 2023 Accepting new patients
Children'S Hospital CurrentSince Mar 27, 2025 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Apr 17, 2023 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Mar 27, 2025 Accepting new patients
Children'S Hospital Current Accepting new patients
Johns Hopkins University CurrentSince Feb 1, 2025 Accepting new patients
Johns Hopkins University Neonatal-Perinatal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Apr 17, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

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

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1396156949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600",
            "telephone_number": "937-371-9746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014593",
            "country_code": "US",
            "telephone_number": "240-566-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "MATHEW",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "H0097268",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102204314",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0097268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H0097268",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.