MAFOT & ASSOCIATES MEDICAL SERVICES LLC
NPI 1104248541
General Practice in Glen Burnie, MD

Q: What is Mafot & Associates Medical Services LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 18, 2014CLIA 21D2159075 · Waiver

1403 MADISON PARK DR STE 200, GLEN BURNIE, MD 21061(410) 487-6902(410) 487-6982 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mafot & Associates Medical Services Llc NPPES

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

MAFOT & ASSOCIATES MEDICAL SERVICES LLC (NPI 1104248541) is a healthcare organization registered as a general practice in Glen Burnie, Maryland and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Dagobert Simo, Director, as its authorized official.

NPPES Registry Identity

NPI1104248541

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMAFOT & ASSOCIATES MEDICAL SERVICES LLC

Location Address1403 MADISON PARK DR STE 200Glen Burnie, MD 21061-6427

Mailing Address11183 Columbia PikeSilver Spring, MD 20901-4507

Phone(410) 487-6902

Fax(410) 487-6982

Organization SubpartNo

Authorized OfficialDagobert SimoDirector · (240) 432-1924

Enumeration DateJanuary 18, 2014

Last NPPES UpdateAugust 31, 2022

NPPES CertifiedAugust 31, 2022

✔ NPI 1104248541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MD · D0073466

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1403 MADISON PARK DR STE 200, Glen Burnie, MD 21061

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mafot & Associates Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mafot & Associates Medical Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dagobert Simo, MD

Family Practice

NPI 1144458217

1403 MADISON PARK DR
Glen Burnie, MD 21061

(410) 487-6902

✔ PECOS✔ Accepts MedicareSame address

Armel Simo, M.D.

Family Practice

NPI 1376708321

724 MAIDEN CHOICE LN STE 304
Catonsville, MD 21228

(410) 216-0206

✔ PECOS✔ Accepts Medicare9.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2159075

Mafot & Associates Medical Services · Glen Burnie, MD

Active · expires Dec 11, 2026

CLIA Number21D2159075

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorDagobert Simo MD

Laboratory Phone(410) 487-6902

Laboratory LocationMafot & Associates Medical Services1403 Madison Park Drive Suite 200, Glen Burnie, MD 21061

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Mafot & Associates Medical Services LLC's NPI number?

The NPI number for Mafot & Associates Medical Services LLC is 1104248541. It was assigned to this organization in the NPPES registry on January 18, 2014.

Where is Mafot & Associates Medical Services LLC located?

Mafot & Associates Medical Services LLC is located at 1403 Madison Park Dr Ste 200, Glen Burnie, MD 21061. The listed phone number is (410) 487-6902.

What is Mafot & Associates Medical Services LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mafot & Associates Medical Services LLC enrolled in Medicare?

Yes. Mafot & Associates Medical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mafot & Associates Medical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Mafot & Associates Medical Services LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mafot & Associates Medical Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2159075) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mafot & Associates Medical Services LLC was last updated on August 31, 2022. 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.