DR. MATTHEW DOUGLAS MERGUERIAN M.D., PH.D.
NPI 1386055804
Pediatrics - Pediatric Hematology-Oncology in Baltimore, MD

Active since May 19, 2014PECOS Enrolled
74.39/100
CMS Quality Rating
200 N WOLFE ST, BALTIMORE, MD 21287(410) 955-6132(410) 955-8208 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew Douglas Merguerian M.d., Ph.d. NPPES

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

DR. MATTHEW DOUGLAS MERGUERIAN M.D., PH.D. (NPI 1386055804) is an individual pediatric hematology-oncology provider in Baltimore, Maryland, licensed in Maryland (D83441) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2014).

NPPES Registry Identity

NPI1386055804
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. MATTHEW DOUGLAS MERGUERIANCredential: M.D., PH.D.
Location Address200 N WOLFE STBaltimore, MD 21287-0011
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004
Fax(410) 955-8208
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2014
Enumeration DateMay 19, 2014
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1386055804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in MD · D83441
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
200 N WOLFE ST, Baltimore, MD 21287

Other Identifiers 1

OtherD83441MD · Md License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Douglas Merguerian M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284915109
PECOS Enrollment IDI20201222000021
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Merguerian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Care Medicine
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 20

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

Pediatrics
200 N WOLFE ST, RUBENSTEIN 2071
BALTIMORE, MD 21287
Pediatrics (Adolescent Medicine)
200 N WOLFE ST
BALTIMORE, MD 21287
Dietitian, Registered
200 N WOLFE ST
BALTIMORE, MD 21287
Pediatrics
200 N WOLFE ST
BALTIMORE, MD 21287
Pediatrics (Pediatric Pulmonology)
200 N WOLFE ST, JOHNS HOPKINS UNIVERSITY
BALTIMORE, MD 21287
Pediatrics
200 N WOLFE ST, HARRIET LANE CLINIC
BALTIMORE, MD 21287
Pediatrics (Adolescent Medicine)
200 N WOLFE ST, SUITE 2083
BALTIMORE, MD 21287
Pediatrics
200 N WOLFE ST, ROOM 3150
BALTIMORE, MD 21287

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 Matthew Merguerian's NPI number?

The NPI number for Matthew Merguerian is 1386055804. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Matthew Merguerian located?

Matthew Merguerian practices at 200 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-6132.

What is Matthew Merguerian's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Matthew Merguerian enrolled in Medicare?

Yes. Matthew Merguerian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Merguerian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Merguerian reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Merguerian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Merguerian was last updated on December 16, 2021. 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.