Sharmila Matippa, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D65186 Issued in MD

Practice address

621 Kelly Rd
Cumberland, MD 21502-2878

Phone

(301) 723-3940

Fax

(301) 723-3941

NPI assigned

May 24, 2007

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adventist Physician Services, Inc.

  dba Adventist Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Gaithersburg, MD
  • NPI 1376623207

  DC

  Medicare reassignment NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hancock, MD
  • NPI 1366491201
  Medicare reassignment NPD
• Neighborhood Health

  dba Engleside

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1154674026

  DC

  Medicare reassignment NPD
• Neighborhood Health

  dba Neighborhood Health at Arlington Pediatric Center

  • Federally Qualified Health Center (FQHC)
  • Arlington, VA
  • NPI 1225899719

  Family Medicine

  NPD
• Neighborhood Health

  dba Gartlan CSB

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1669801403
  NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1083055081
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1164620027
  NPD (past)
• Neighborhood Health

  dba Neighborhood Health Annandale

  • Federally Qualified Health Center (FQHC)
  • Annandale, VA
  • NPI 1841744265
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1710198494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 YELLOW LEAF WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208761376",
            "telephone_number": "301-915-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KELLY RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022878",
            "telephone_number": "301-723-3940",
            "fax_number": "301-723-3941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19735 Germantown Rd",
            "address_2": "Sutie 100",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208741214",
            "country_code": "US",
            "telephone_number": "301-528-9272",
            "fax_number": "301-917-6501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIPPA",
        "first_name": "SHARMILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD036546",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240670",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D65186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Wellness LLC
• Madison Maslonik
• Sima Jaffari Mason, MSN, DNP, CRNA
• Jared Mathews, MD
• Zachary Mathews
• Ryan Royston Matthews, CRNP
• Leslie Marie Mauk
• Maureen Conroy D.O. & Tom Hartsuch M.D.
• Kristen M Maust, MS CCC/SLP
• Blanche Mavromatis, MD

• Family Medicine Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.