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MONA MOUKADDEM MD
NPI 1235078619
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 27, 2026PECOS Enrolled
1830 E MONUMENT ST STE 6-100, BALTIMORE, MD 21287(312) 637-0172 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mona Moukaddem Md NPPES

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

MONA MOUKADDEM MD (NPI 1235078619) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1235078619
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMONA MOUKADDEMCredential: MD
Location Address1830 E MONUMENT ST STE 6-100Baltimore, MD 21287-0020
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 955-5000 · Fax (410) 500-4266
Phone(312) 637-0172
Sole ProprietorYes
Enumeration DateMarch 27, 2026
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1235078619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1830 E MONUMENT ST STE 6-100, Baltimore, MD 21287
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mona Moukaddem Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOROTHY YIM
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
AUDREY REBECCA MCMURTRIE MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
CHRISTINE WEI
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (610) 675-9354
GENEVIEVE MARIA PALMER DO
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
GHASSAN BOU SABA MD
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (202) 489-6605
AUSTIN MICHAEL DREWEK
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
BLISS ROGERS
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 808-3890
LAUREN GARD MPH
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (503) 703-4345

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 Mona Moukaddem's NPI number?

The NPI number for Mona Moukaddem is 1235078619. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Mona Moukaddem located?

Mona Moukaddem practices at 1830 E Monument St Ste 6-100, Baltimore, MD 21287. The listed phone number is (312) 637-0172.

What is Mona Moukaddem's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mona Moukaddem enrolled in Medicare?

Yes. Mona Moukaddem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mona Moukaddem was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.