Jericho De Mata, DO
Jericho De Mata, DO practises Emergency Medicine in Upper Marlboro, Maryland. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia, Maryland and Virginia.
- Years since qualifying
- 12
- Licensed in
- DC, MD, VA
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1221 Mercantile LnUpper Marlboro, MD 20774-5374
Phone: (301) 618-5500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2139 Georgia Ave Nw Ste 3b, Washington, DC 20001-3006 — (202) 865-6100
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence H83783 (MD) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD045539 (DC) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 0102205000 (VA) |
Record details
| NPI number | 1275950396 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 26, 2014 |
| Last updated in NPPES | June 20, 2021 |
| Certification date | June 20, 2021 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Medicare patients and services, 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 54 |
| Average patient age | 71 |
Colleagues at Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Dr. Chana-Rivka Abramson, MD Student in an Organized Health Care Education/Training Program · Manassas, VA
- Dr. Anita Bansal, MD Psychiatry Physician · Rockville, MD
- Judy Datoc Physical Therapist · Rockville, MD
- Mrs. Klu C Descalzo Acute Care Nurse Practitioner · Washington, DC
- Alana Eason Wilhite Obstetrics & Gynecology Physician · Suitland, MD
- Dr. Elisabeth Gretke Maria Kramer, MD Internal Medicine Physician · Washington, DC
- Dr. Jeet Madan Lund, DO Internal Medicine Physician · New Haven, CT
- Dr. Heather Ann Peluso, DO Plastic and Reconstructive Surgery Physician · Philadelphia, PA
- Christopher D Presley, NP Family Nurse Practitioner · Glen Burnie, MD
- Bethel Sine, MD Internal Medicine Physician · Las Vegas, NV
- Rupali Singla, MD Family Medicine Physician · Syracuse, NY
- Dr. Yordanos Teferra, MD Family Medicine Physician · Baton Rouge, LA
Other providers in Upper Marlboro
-
Dr. Arnulfo B Bonavente, MD
6409 Crain Hwy Route 301, Upper Marlboro, MD 20772-4139 · (301) 952-8614
-
Dr. Madeline Nicole Bota Brown, MD
9109 Garden Knoll Ln, Upper Marlboro, MD 20772-2519 · (484) 350-8082
-
Katrina Castillo, MD
1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 · (301) 618-5500
-
Comprehensive Healthcare & Wellness Services LLC
1014 Andean Goose Way, Upper Marlboro, MD 20774-7128 · (240) 508-3363
-
Icarenow LLC
20 Watkins Park Dr, Upper Marlboro, MD 20774-1628 · (301) 350-8501
-
Icarenow LLC
20 Watkins Park Dr, Upper Marlboro, MD 20774-1665 · (301) 350-8501
-
Dr. Aysha Khan, MD
1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 · (301) 618-5500
-
Hannah Korman, MD
13400 Edgemeade Rd, Upper Marlboro, MD 20772 · (240) 681-6000