MDM RENEWCARE MEDICAL CORPORATION
NPI 1104742733
General Practice in Los Angeles, CA
About Mdm Renewcare Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MDM RENEWCARE MEDICAL CORPORATION (NPI 1104742733) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since June 2026. The organization lists Mariam Alaka, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mdm Renewcare Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mdm Renewcare Medical Corporation, 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 Mdm Renewcare Medical Corporation's NPI number?
The NPI number for Mdm Renewcare Medical Corporation is 1104742733. It was assigned to this organization in the NPPES registry on June 27, 2026.
Where is Mdm Renewcare Medical Corporation located?
Mdm Renewcare Medical Corporation is located at 501 W Olympic Blvd Apt 905, Los Angeles, CA 90015. The listed phone number is (747) 254-2855.
What is Mdm Renewcare Medical Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mdm Renewcare Medical Corporation enrolled in Medicare?
Yes. Mdm Renewcare Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mdm Renewcare Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Mdm Renewcare Medical Corporation. 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 Mdm Renewcare Medical Corporation was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Mdm Renewcare Medical Corporation · NPI 1104742733
General Practice organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since June 27, 2026.
## Identity
- **NPI:** 1104742733 (Entity type: Organization)
- **Enumerated:** June 27, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Mariam Alaka, CEO
## Practice location
- **Address:** 501 W OLYMPIC BLVD APT 905, Los Angeles, CA 90015-1451
- **Phone:** (747) 254-2855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1104742733) · Data from the CMS NPPES public registry.