Matrix House Physicians PA
Matrix House Physicians PA is a healthcare organization registered as Internal Medicine Physician in Lanham, MD, holding Type 2 (organization) NPI 1780631556 since 2006. The authorized official on file is Nadehzda Kovalchuk, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780631556 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matrix House Physicians PA |
| Practice address | 8118 GOOD LUCK RD, Lanham, MD, 20706 |
| Phone | 3015528118 |
| Fax | 3014983074 |
| Enumeration date | 2006-05-27 |
| Last updated in NPPES | 2011-11-14 |
Authorized official
| Name | Nadehzda Kovalchuk |
|---|---|
| Title | Medical Director |
| Phone | 3015528118 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G479 | Other | DC | BCBS GROUP PROVIDER # |
| LL77MA | Other | MD | BCBS GROUP PROVIDER # |
| 055700500 | Medicaid | MD | — |
Copy-ready billing details
Provider: Matrix House Physicians PA NPI: 1780631556 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 8118 GOOD LUCK RD, Lanham, MD, 20706
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336149632 | Moustafa Shamma | Individual | General Practice Physician | Lanham, MD |
| 1700870748 | Salim Jarawan | Individual | Pharmacotherapy Pharmacist | Lanham, MD |
| 1770573859 | George Okang | Individual | Critical Care Medicine (Internal Medicine) Physician | Lanham, MD |
| 1720066277 | Charles Hickok | Individual | Anesthesiology Physician | Lanham, MD |
| 1508820929 | Carrie Main | Individual | Physical Therapist | Lanham, MD |
| 1346297124 | Steven Remsen, MD PA | Organization | Emergency Medicine Physician | Lanham, MD |
| 1730136532 | Luminis Health Doctors Community Medical Center, Inc. | Organization | General Acute Care Hospital | Lanham, MD |
| 1487692521 | Eric Wargotz | Individual | Anatomic Pathology & Clinical Pathology Physician | Lanham, MD |
Verify this record
Cross-check NPI 1780631556 against the authoritative CMS record: view Matrix House Physicians PA on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Matrix House Physicians PA?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2011-11-14.