Individual provider Active NPI

Megan Kelley Mathias, PA-C

  • Physician Assistant
  • Pasadena, MD
National Provider Identifier
1396997136
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003894 Issued in MD
Practice address
8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone
(443) 573-0564
Fax
(443) 573-0565
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003894 MD Primary

Addresses

Primary practice location

8105 Ritchie Hwy
Pasadena, MD 21122-3905

Mailing address

PO Box 759047
Baltimore, MD 21275-9047
Phone (804) 968-5700

Other identifiers 2

IdentifierTypeStateIssuer
149619OtherMDMEDICARE GROUP PTAN
945LOtherMDMEDICARE GROUP PTAN

Other names 1

  • Megan Kelley Everett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081215000072 MD Practitioner - Physician Assistant 1759443450 Reassigns benefits to 2 organizations
I20240313001953 DC Practitioner - Physician Assistant 1759443450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone (443) 351-3917

15459 Annapolis Rd
Bowie, MD 20715-1847
Phone (240) 544-0676

2051 W St
Annapolis, MD 21401-3006
Phone (443) 603-0758

5100 Eastern Ave
Bayview
Baltimore, MD 21224-2772
Phone (410) 814-4500

5900 Cedar LN
Columbia, MD 21044-3635
Phone (443) 718-4067

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904
Phone (443) 577-0277

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone (443) 573-0564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group, PLLC CurrentSince Feb 5, 2024 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Feb 5, 2024 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Feb 5, 2024 Accepting new patients
Champion Emergency Physicians LLC Past Accepting new patients
Caton Emergency Physicians Physician Assistant Past Accepting new patients
Maryland Provo-I Medical Services, PC Physician Assistant Past Accepting new patients

Locations

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

8105 Ritchie Hwy
Pasadena, MD 21122
Phone (443) 573-0564

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 7

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1396997136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759047",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212759047",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211223905",
            "telephone_number": "443-573-0564",
            "fax_number": "443-573-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "MEGAN",
        "middle_name": "KELLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "149619",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "945L",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8105 Ritchie Hwy",
            "city": "Pasadena",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211223905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "EVERETT",
            "middle_name": "KELLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.