Active NPI
Nicholas Mata, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- D90988
- Practice address
- 5601 Loch Raven Blvd
Baltimore, MD 21239-2950 - Phone
- (844) 940-7246
- Fax
- (833) 909-4296
- NPI assigned
- Apr 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D90988 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Mailing address
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Phone (844) 940-7246
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Wright State University Boonshoft School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Forest Hill, MD 21050-1758
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-8000
Hospital & facility affiliations
- Medstar Health Home Care
- Medstar Union Memorial Hospital
- Medstar Harbor Hospital
- Medstar Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.74 of 100
- Quality
- 36.67
- Improvement activities
- 40
- Cost
- 70.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| All Star Pain Management and Regenerative Medicine, LLC | Pain Medicine | Current | Accepting new patients |
Locations
166 Defense Hwy
Ste 300
Annapolis, MD 21401
Phone (443) 808-1808
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5601 Loch Raven Blvd
Ste 405
Baltimore, MD 21239
Phone (410) 532-5386
4201 Northview Dr
Ste 502
Bowie, MD 20716
Phone (443) 808-1808
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bowie, MD
- NPI 1669290219
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1720175623
-
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1750736658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392950",
"telephone_number": "844-940-7246",
"fax_number": "833-909-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392950",
"telephone_number": "844-940-7246",
"fax_number": "833-909-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATA",
"first_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D90988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.