Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jericho De Mata, D.O.

Family Medicine Physician in Upper Marlboro, MD · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275950396

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Registry record

Entity type Individual (Type 1)

Name Jericho De Mata

Credential D.O.

Sex Male

Practice address 1221 Mercantile Ln, Upper Marlboro, MD, 20774

Phone (301) 618-5500

Enumeration date Mar 26, 2014

Last updated in NPPES Jun 20, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD045539 (DC) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0102205000 (VA) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License H83783 (MD) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jericho De Mata?

The National Provider Identifier (NPI) for Jericho De Mata is 1275950396, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jericho De Mata practice?

The practice location on file with NPPES is in Upper Marlboro, MD. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-20.