Individual provider Active NPI

Manoj Mathur, MD

  • Internal Medicine Physician
  • Huntingtown, MD
National Provider Identifier
1992730568
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0061947 Issued in MD
Practice address
3995 Old Town Rd
Suite 202
Huntingtown, MD 20639-3041
Phone
(410) 535-1451
Fax
(410) 535-9620
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0061947 MD Primary

Addresses

Primary practice location

3995 Old Town Rd
Suite 202
Huntingtown, MD 20639-3041

Mailing address

Calvert Internal Medicine Group, PA
985 Prince Frederick Blvd, Ste 201
Prince Frederick, MD 20678-3042
Phone (410) 535-2005

Other practice location 1

5801 Allentown Rd Ste 500
Camp Springs, MD 20746-4518
Phone (410) 535-1451

Other identifiers 1

IdentifierTypeStateIssuer
406057100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041130000217 MD Practitioner - Internal Medicine 0840255014 Reassigns benefits to 2 organizations
I20061013000215 DC Practitioner - Internal Medicine 0840255014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

3995 Old Town Rd
Suite 202
Huntingtown, MD 20639-3041
Phone (410) 535-1451

5801 Allentown Rd
Suite 500
Camp Springs, MD 20746-4518

5801 Allentown Rd
Suite 501
Camp Springs, MD 20746-4563
Phone (410) 535-1451

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061947MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manoj Mathur MD PA Internal Medicine CurrentSince Sep 27, 2004 Accepting new patients
Calvert Internal Medicine Group PA Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Chesapeake Wound Care Centers LLC Current Accepting new patients
Calvert Health Ventures Inc Internal Medicine Past Accepting new patients
Rodeen Rahbar MD LLC PastSince Jan 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients

Locations

5801 Allentown Rd
Ste 501
Camp Springs, MD 20746
Phone (304) 679-5773

7501 Surratts Rd
Ste 208A
Clinton, MD 20735
Phone (301) 877-4674

3995 Old Town Rd
Ste 202
Huntingtown, MD 20639
Phone (301) 870-0660

110 Hospital Rd
Ste 305
Prnc Frederck, MD 20678
Phone (410) 535-1451

205 Steeple Chase Dr
Ste 304
Prnc Frederck, MD 20678
Phone (443) 486-4088

985 Prince Frederick Blvd
Ste 201
Prnc Frederck, MD 20678
Phone (410) 414-5329

5801 Allentown Rd
Ste 500
Suitland, MD 20746
Phone (301) 899-7713

Interoperability endpoints

  • Direct secure messaging: manojm@calvertinternalmedicine.medentdirect.com
  • Direct secure messaging: manoj.mathur.1@19527.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1992730568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALVERT INTERNAL MEDICINE GROUP, PA",
            "address_2": "985 PRINCE FREDERICK BLVD, STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783042",
            "telephone_number": "410-535-2005",
            "fax_number": "443-432-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 OLD TOWN RD",
            "address_2": "SUITE 202",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206393041",
            "telephone_number": "410-535-1451",
            "fax_number": "410-535-9620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Allentown Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Camp Springs",
            "state": "MD",
            "postal_code": "207464518",
            "country_code": "US",
            "telephone_number": "410-535-1451",
            "fax_number": "410-535-9620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "MANOJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0061947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406057100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingtown, MD

Sources for this page

Verify at the official NPI Registry.