Individual provider Active NPI

Mateen Collis Moghbel, MD

  • Diagnostic Radiology Physician
  • Glen Burnie, MD
National Provider Identifier
1760986905
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
285940 Issued in MA
Practice address
331 Oak Manor Dr Ste 102
Glen Burnie, MD 21061-5553
Phone
(443) 333-1894
Fax
(443) 333-1894
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 285940 MA Primary
Nuclear Radiology Physician 2085N0904X D0105128 MD

Addresses

Primary practice location

331 Oak Manor Dr Ste 102
Glen Burnie, MD 21061-5553

Mailing address

331 Oak Manor Dr Ste 102
Glen Burnie, MD 21061-5553

Other practice location 1

Massachusetts General Hospital
55 Fruit St
Boston, MA 02114
Phone (617) 724-0288

Other practice location 2

710 Lawrence Expy Dept 384
Santa Clara, CA 95051-5173
Phone (408) 649-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, MD3 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
I20230810002690 MA Practitioner - Diagnostic Radiology 4486984010 Reassigns benefits to 3 organizations
I20240730002664 NH Practitioner - Diagnostic Radiology 4486984010 Reassigns benefits to 2 organizations
I20251211003354 MD Practitioner - Diagnostic Radiology 4486984010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Molecular Imaging and TherapyGroup PAC ID 2567791700, 5 clinicians
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

331 Oak Manor Dr
Suite 201
Glen Burnie, MD 21061-5555
Phone (410) 231-3110

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

67 Corporate Dr
BLDG a
Portsmouth, NH 03801-2847
Phone (603) 431-5529

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0105128MDMDNuclear Radiology Physician
285940MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Theranostics Physicians of California PC CurrentSince Apr 15, 2026 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jul 1, 2024 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
General Hospital Corp Current Accepting new patients
Advanced Molecular Imaging and Therapy Nuclear Radiology CurrentSince Oct 1, 2025 Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients
Seacoast Radiology, PA Diagnostic Radiology Past Accepting new patients

Locations (25 of 34)

11500 W Olympic Blvd
Ste 610
Los Angeles, CA 90064
Phone (443) 333-1894

125 W South St
Unit 1267
Indianapolis, IN 46206

170 University Dr
Amherst, MA 01002
Phone (413) 461-3530

55 Fruit St
#125N260
Boston, MA 02114

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

104 Endicott St
Ste 303
Danvers, MA 01923
Phone (978) 524-0050

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

192 North St
#R
Danvers, MA 01923

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

1 Wallace Bashaw Way
Ste 1002
Newburyport, MA 01950
Phone (978) 255-2612

22 Atwood Dr
#3
Northampton, MA 01060

4 Centennial Dr
Ste 201
Peabody, MA 01960
Phone (978) 531-0800

414 Haverhill St
Rowley, MA 01969
Phone (877) 379-5522

400 Highland Ave
Salem, MA 01970
Phone (781) 599-0220

331 Highland Ave
Salem, MA 01970
Phone (978) 744-3499

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

4 West St
West Hatfield, MA 01088
Phone (413) 570-1177

331 Oak Manor Dr
Glen Burnie, MD 21061
Phone (410) 766-4878

331 Oak Manor Dr
Ste 102
Glen Burnie, MD 21061
Phone (410) 266-2711

331 Oak Manor Dr
Ste 201
Glen Burnie, MD 21061
Phone (410) 231-3110

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

701 Central Ave
Dover, NH 03820
Phone (603) 609-6700

Interoperability endpoints

  • Direct secure messaging: moghbel.mateen.mgh@direct.partners.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1760986905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "443-333-1894",
            "fax_number": "443-333-1894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Massachusetts General Hospital",
            "address_2": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "617-724-0288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Lawrence Expy Dept 384",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950515173",
            "country_code": "US",
            "telephone_number": "408-649-0375",
            "fax_number": "408-851-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGHBEL",
        "first_name": "MATEEN",
        "middle_name": "COLLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "285940",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MD",
            "license": "D0105128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.