NPIMap

Individual provider Active NPI

Mark Thomas Matsunaga, MD

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, MD
National Provider Identifier
1962409656
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D0037907 Issued in MD
Practice address
10710 Charter Dr
Suite 240
Columbia, MD 21044-3128
Phone
(410) 997-7246
Fax
(410) 997-7226
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X D0037907 MD Primary

Addresses

Primary practice location

10710 Charter Dr
Suite 240
Columbia, MD 21044-3128

Mailing address

10710 Charter Dr
Suite 240
Columbia, MD 21044-3128
Phone (410) 997-7246

Other identifiers 1

IdentifierTypeStateIssuer
304411400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000358 MD Practitioner - AnesthesiologyPractitioner - Pain Management 1456305291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
George Washington University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8894 Stanford Blvd
Suite 104
Columbia, MD 21045-5161
Phone (410) 997-7246

Hospital & facility affiliations

  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115

Merit-based Incentive Payment System (MIPS)

Final score
81.62 of 100Reported as individual
Quality
66.99
Promoting interoperability
100
Improvement activities
40
Cost
64.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0037907MDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 1, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 1, 2014 Accepting new patients
Howard County Anesthesia Associates PA Past Accepting new patients
Matsunaga Pain Management LLC Past Accepting new patients
Matsunaga Pain Management LLC Pain Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
North American Partners in Anesthesia Maryland LLC PastSince Jul 10, 2022 Accepting new patients
Maryland Surgeons Center of Columbia PastSince Apr 16, 2008 Accepting new patients

Locations

8894 Stanford Blvd
Ste 104
Columbia, MD 21045
Phone (410) 997-7246

10710 Charter Dr
Ste 240
Columbia, MD 21044
Phone (410) 964-8287

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

Interoperability endpoints

  • Direct secure messaging: mark.matsunaga.1@24070.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24070/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1962409656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-997-7246",
            "fax_number": "410-997-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-997-7246",
            "fax_number": "410-997-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUNAGA",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0037907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304411400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.