MATTHEW J MALTA MD PA
NPI 1902874472
Internal Medicine in Annapolis, MD
About Matthew J Malta Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW J MALTA MD PA (NPI 1902874472) is a healthcare organization registered as an internal medicine in Annapolis, Maryland and active in the NPI registry since March 2006. The organization lists Matthew J Malta, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew J Malta Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Matthew J Malta MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 J Malta MD PA's NPI number?
The NPI number for Matthew J Malta MD PA is 1902874472. It was assigned to this organization in the NPPES registry on March 10, 2006.
Where is Matthew J Malta MD PA located?
Matthew J Malta MD PA is located at 132 Holiday Ct Suite 201, Annapolis, MD 21401. The listed phone number is (410) 573-2477.
What is Matthew J Malta MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Matthew J Malta MD PA enrolled in Medicare?
Yes. Matthew J Malta MD PA is registered in the Medicare PECOS enrollment system.
When is Matthew J Malta MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Matthew J Malta MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Matthew J Malta MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Matthew J Malta MD PA was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Matthew J Malta Md Pa · NPI 1902874472
Internal Medicine organization in Annapolis, Maryland. Organization record, active in the CMS NPPES registry since March 10, 2006.
## Identity
- **NPI:** 1902874472 (Entity type: Organization)
- **Enumerated:** March 10, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Matthew Malta, PHYSICIAN OWNER
## Practice location
- **Address:** 132 HOLIDAY CT, SUITE 201, Annapolis, MD 21401-7005
- **Phone:** (410) 573-2477 · **Fax:** (410) 573-2478
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2015
- **Other identifiers:** Medicaid 483902100 (MD); Other 5719; Medicare PIN 121P; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902874472) · Data from the CMS NPPES public registry.