MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1295227197
Internal Medicine in Towson, MD

Active since June 06, 2018CLIA 21D2139617 · Waiver
7801 YORK RD STE 300, TOWSON, MD 21204(410) 220-0780(410) 862-0150 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2022, Aug 7, 2020, May 22, 2019 (3 updates tracked since 2019).

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 1295227197) is a healthcare organization registered as an internal medicine in Towson, Maryland and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1295227197
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC
Location Address7801 YORK RD STE 300Towson, MD 21204-7449
Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150
Fax(410) 862-0150
Organization SubpartNo
Authorized OfficialDan ReckManager · (410) 220-0780
Enumeration DateJune 6, 2018
Last NPPES UpdateMay 11, 20223 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
NPI 1295227197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7801 YORK RD STE 300, Towson, MD 21204

Other Identifiers 1

Medicaid988006200MD

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

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 21D2139617

Matclinic Physicians Practice Group, LLC · Towson, MD
Active · expires Nov 5, 2027
CLIA Number21D2139617
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorDr. Enrique Oviedo
Laboratory Phone(410) 302-1296
Laboratory LocationMatclinic Physicians Practice Group, LLC40 York Road Suite 201, Towson, MD 21204
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
7801 YORK RD STE 300
TOWSON, MD 21204
Clinic/Center (Mental Health (Including Community Mental Health Center))
7801 YORK RD STE 300
TOWSON, MD 21204

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 1295227197. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 7801 York Rd Ste 300, Towson, MD 21204. The listed phone number is (410) 220-0780.

What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Matclinic Physicians Practice Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2139617) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Matclinic Physicians Practice Group LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.