Matthew J Malta MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MATTHEW J MALTA MD PA

Practice address

132 Holiday CT
Suite 201
Annapolis, MD 21401-7005

Phone

(410) 573-2477

Fax

(410) 573-2478

NPI assigned

Mar 10, 2006

Last updated

Nov 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Malta, MDNPI 1780673095

Title

Physician Owner

Phone

(410) 573-2477

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8805/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew J Malta, MD

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1780673095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1902874472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13830",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154029",
            "telephone_number": "410-573-2477",
            "fax_number": "410-573-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HOLIDAY CT",
            "address_2": "SUITE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017005",
            "telephone_number": "410-573-2477",
            "fax_number": "410-573-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J MALTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "MALTA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "410-573-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0M93MJ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483902100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Mathew, MS, CCC-SLP
• Brenda Kay Mathews-Vitello, CRNP
• Janice L Mathews, ACNP, ANP
• Laura P Mathiesen, RN
• David E Matteson, MD
• Gretchen Matthews, PHARMD
• Lindsay Anne Matthews, MD
• Dana Marie Matthias
• Tori Matton
• Allison Maurer, R.D.

• Internal Medicine Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.