Active NPI
Mateen Collis Moghbel, MD
- Diagnostic Radiology Physician
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 285940
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Massachusetts General Hospital
- Newton-Wellesley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0105128 | MD | MD | Nuclear Radiology Physician |
| 285940 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Theranostics Physicians of California PC | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Current | Accepting new patients |
| General Hospital Corp | Current | Accepting new patients | |
| Advanced Molecular Imaging and Therapy | Nuclear Radiology | Current | 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
- 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.
-
- Nuclear Medicine Physician
- Glen Burnie, MD
- NPI 1750933362
Nuclear Radiology
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology, NH
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Nuclear Imaging & Therapy Physician
- Los Angeles, CA
- NPI 1649166281
-
- Internal Medicine Physician
- Concord, MA
- NPI 1174545875
-
- Diagnostic Radiology Physician
- Dover, NH
- NPI 1427020395
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.