MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1023607991
Internal Medicine - Addiction Medicine in Havre De Grace, MD

Q: What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since January 14, 2021CLIA Certified · 3 labs

253 LEWIS LN STE 201, HAVRE DE GRACE, MD 21078(410) 220-0720(410) 862-0150 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, May 11, 2022, Jun 30, 2021 and 1 more (4 updates tracked since 2021).

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About Matclinic Physicians Practice Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI 1023607991) is a healthcare organization registered as an addiction medicine in Havre De Grace, Maryland and active in the NPI registry since January 2021. The organization holds 3 active CLIA laboratory certificates and lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1023607991

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC

Location Address253 LEWIS LN STE 201Havre De Grace, MD 21078-3756

Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150

Phone(410) 220-0720

Fax(410) 862-0150

Organization SubpartNo

Authorized OfficialDan ReckManager · (410) 220-0720

Enumeration DateJanuary 14, 2021

Last NPPES UpdateDecember 10, 20254 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1023607991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

253 LEWIS LN STE 201, Havre De Grace, MD 21078

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Other Identifiers 1

Medicaid766335800MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2215285

Matclinic Physician Practice Group LLC · Havre De Grace, MD

Active · expires Mar 1, 2027

CLIA Number21D2215285

Laboratory TypePhysician Office

Certificate Effective DateMarch 2, 2025

Certificate Expiration DateMarch 1, 2027

Laboratory DirectorDr. Enrique I. Oviedo

Laboratory Phone(410) 302-1296

Laboratory LocationMatclinic Physician Practice Group LLC253 Lewis Lane Ste 201, Havre De Grace, MD 21078

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 21D2142107

Matclinic Physicians Practice Group · Dundalk, MD

Active · expires Nov 19, 2026

CLIA Number21D2142107

Laboratory TypeUa Toxicology

Certificate Effective DateNovember 20, 2024

Certificate Expiration DateNovember 19, 2026

Laboratory DirectorMichael Chen

Laboratory Phone(410) 220-0720

Laboratory LocationMatclinic Physicians Practice Group40 S Dundalk Ave Suite 400, Dundalk, MD 21222

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 21D2139615

Matclinic Physicians Practice Group, LLC · Dundalk, MD

Active · expires Nov 5, 2027

CLIA Number21D2139615

Laboratory TypePhysician Office

Certificate Effective DateNovember 6, 2025

Certificate Expiration DateNovember 5, 2027

Laboratory DirectorEnrique Oviedo

Laboratory Phone(410) 302-1296

Laboratory LocationMatclinic Physicians Practice Group, LLC40 S Dundalk Ave Suite 400, Dundalk, MD 21222

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATCLINIC PHYSICIANS PRACTICE GROUP LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

253 LEWIS LN STE 201
HAVRE DE GRACE, MD 21078

Harford County (410) 220-0720

MATCLINIC PHYSICIANS PRACTICE GROUP LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

253 LEWIS LN STE 201
HAVRE DE GRACE, MD 21078

Harford County (410) 220-0720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matclinic Physicians Practice Group LLC's NPI number?

The NPI number for Matclinic Physicians Practice Group LLC is 1023607991. It was assigned to this organization in the NPPES registry on January 14, 2021.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 253 Lewis Ln Ste 201, Havre De Grace, MD 21078. The listed phone number is (410) 220-0720.

What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Does Matclinic Physicians Practice Group LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Matclinic Physicians Practice Group LLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.