Mateo Jose Betancourt, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H0101595 Issued in MD

Practice address

6830 Hospital Dr Ste 206
Rosedale, MD 21237-4377

Phone

(410) 238-5390

NPI assigned

Apr 11, 2017

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: jbetancourtmateo1914157@nychhc.direct-ci.com

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1801329362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 OLD MONTGOMERY RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454239",
            "telephone_number": "210-478-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR STE 206",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374377",
            "telephone_number": "410-238-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "MATEO",
        "middle_name": "JOSE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102205620",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0101595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Benewaah, CRNP
• Anne Bennett
• Alice Owusuwaa Benson, NURSE PRACTITIONER
• Bethany M Benson, LCPC
• Brian Lee Berryhill
• Maria Bettendorf, LMSW
• Beyond Hospital Care Inc
• Brande Janelle Bidle, LGPC
• Bio-Medical Applications of Maryland, Inc.
• Bio-Medical Applications of Maryland, Inc.

• Pediatrics Physician in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.