Individual provider Active NPI

Martha Marie Maturi, M.D.

  • Internal Medicine Physician
  • Annandale, VA
National Provider Identifier
1508982414
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101035502 Issued in VA
Practice address
7601 Little River Tpke
Suite 100
Annandale, VA 22003-2601
Phone
(703) 642-1004
Fax
(703) 642-3232
NPI assigned
Mar 22, 2007
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101035502 VA Primary

Addresses

Primary practice location

7601 Little River Tpke
Suite 100
Annandale, VA 22003-2601

Mailing address

7601 Little River Tpke
Suite 100
Annandale, VA 22003-2601
Phone (703) 642-1004

Other identifiers 1

IdentifierTypeStateIssuer
047685ZBSMOtherVAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110328000255 DC Practitioner - Internal Medicine 6305029471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2751 Prosperity Ave
Suite 440
Fairfax, VA 22031-4373
Phone (703) 505-0204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1508982414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 LITTLE RIVER TPKE",
            "address_2": "SUITE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032601",
            "telephone_number": "703-642-1004",
            "fax_number": "703-642-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LITTLE RIVER TPKE",
            "address_2": "SUITE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032601",
            "telephone_number": "703-642-1004",
            "fax_number": "703-642-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATURI",
        "first_name": "MARTHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101035502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "047685ZBSM",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.