DR. FADIL AJAJ YUNIS M.D.
NPI 1245301779
Physical Medicine & Rehabilitation in La Plata, MD
NPI Status: Active since November 13, 2006
Contact Information
203 CENTENNIAL ST.
STE. 104
LA PLATA, MD
ZIP 20646
Phone: (301) 934-2776
Fax: (301) 934-1417
- Individual
- Male
- Years of Experience 30
- Physical Medicine & Rehabilitation
- Accepts Medicare Approved Payment
- PECOS Enrolled
About FADIL YUNIS
This page provides the complete NPI Profile along with additional information for Fadil Yunis, a provider established in La Plata, Maryland with a medical specialization in Physical Medicine & Rehabilitation and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1245301779 assigned on November 2006. The practitioner's primary taxonomy code is 208100000X with license number D0042716 (MD). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1245301779
- Provider Name
- DR. FADIL AJAJ YUNIS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 203 CENTENNIAL ST. STE. 104 LA PLATA, MD 20646
- Location Phone
- (301) 934-2776
- Location Fax
- (301) 934-1417
- Mailing Address
- PO BOX 2540 LA PLATA, MD 20646
- Mailing Phone
- (301) 934-2776
- Mailing Fax
- (301) 934-1417
- Medical School Name
- OTHER
- Graduation Year
- 1996
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-13-2006
- Last Update Date
- 05-26-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0042716
- License State
- MD
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4046524002 | OTHER (01) | MD | CIGNA |
| G43229 | MEDICARE UPIN (02) | ||
| 522271634004 | OTHER (01) | MD | US DEPT OF LABOR |
| 811046800 | MEDICAID (05) | MD | |
| 088M969E | MEDICARE PIN (08) | MD | |
| 545605-04 | OTHER (01) | MD | BLUE CROSS BLUE SHIELD |
| 2146649 | OTHER (01) | MD | OPTIMUM CHOICE |
| 2146649 | OTHER (01) | MD | MDIPA |
| BLUE HOICE | OTHER (01) | MD | 3162-0001 |
| 2431743 | OTHER (01) | MD | AETNA |
| 3162 0001 | OTHER (01) | MD | CAREFIRST BCBS FED |
| 147954200 | OTHER (01) | MD | US DEPT OF LABOR |
| 2146649 | OTHER (01) | MD | ALLIANCE PPO |
| 2146649 | OTHER (01) | MD | MAMSI |
| 2146649 | OTHER (01) | MD | GEHA |
| 2146649 | OTHER (01) | MD | UNITEDHEALTHCARE |
Medicare Participation & PECOS Enrollment Status
Fadil Yunis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Fadil Yunis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4587641121
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120203000464
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Needle measurement of electrical activity in arm or leg muscles, complete study
Nerve conduction, 9-10 studies
New patient office or other outpatient visit, 30-44 minutes
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 439 times for 50 patientsThis procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
This service was performed 32 times for 19 patientsNerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
This service was performed 11 times for 11 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 13 times for 13 patientsReviews for DR. FADIL AJAJ YUNIS M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245301779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245301779, enumerated as an "individual" on November 13, 2006.
The provider is located at 203 CENTENNIAL ST. STE. 104 LA PLATA, MD 20646 and the phone number is (301) 934-2776.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
The provider might be accepting Accepts: Cigna, Medicare, Medicaid, Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
