MY MED CLINIC PA
NPI 1245403849
Family Medicine - Geriatric Medicine in Germantown, MD
About My Med Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MY MED CLINIC PA (NPI 1245403849) is a healthcare organization registered as a geriatric medicine in Germantown, Maryland and active in the NPI registry since April 2008. The organization lists Farzana Ajmal, Owner, 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)
My Med Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to My Med Clinic PA, 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 (3)
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 My Med Clinic PA's NPI number?
The NPI number for My Med Clinic PA is 1245403849. It was assigned to this organization in the NPPES registry on April 4, 2008.
Where is My Med Clinic PA located?
My Med Clinic PA is located at 19731 Executive Park Cir, Germantown, MD 20874. The listed phone number is (301) 698-3245.
What is My Med Clinic PA's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is My Med Clinic PA enrolled in Medicare?
Yes. My Med Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through My Med Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to My Med Clinic PA, in Family Practice and Nurse Practitioner. 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.
When was this NPI record last updated?
The NPPES record for My Med Clinic PA was last updated on December 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# My Med Clinic Pa · NPI 1245403849
Geriatric Medicine organization in Germantown, Maryland. Organization record, active in the CMS NPPES registry since April 4, 2008.
## Identity
- **NPI:** 1245403849 (Entity type: Organization)
- **Enumerated:** April 4, 2008
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Farzana Ajmal, OWNER
## Practice location
- **Address:** 19731 EXECUTIVE PARK CIR, Germantown, MD 20874-2642
- **Phone:** (301) 698-3245 · **Fax:** (301) 698-3246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1245403849) · Data from the CMS NPPES public registry.