DR. MAKAYA ADISA MULATO M.D.
NPI 1295712560
Pediatrics in Frederick, MD

Active since December 28, 2005
190 THOMAS JOHNSON DR STE 5, FREDERICK, MD 21702(012) 007-4444(833) 907-0576 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2025, May 20, 2021 (2 updates tracked since 2021).

About Dr. Makaya Adisa Mulato M.d. NPPES

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

DR. MAKAYA ADISA MULATO M.D. (NPI 1295712560) is an individual pediatrics provider in Frederick, Maryland, licensed in Maryland (D0057961) and active in the NPI registry since December 2005. She maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1295712560
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MAKAYA ADISA MULATOCredential: M.D.
Location Address190 THOMAS JOHNSON DR STE 5Frederick, MD 21702-4879
Mailing Address190 Thomas Johnson Dr Ste 5Frederick, MD 21702-4879 · (301) 200-7444 · Fax (833) 907-0576
Fax(833) 907-0576
Sole ProprietorYes
Enumeration DateDecember 28, 2005
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1295712560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MD · D0057961
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
190 THOMAS JOHNSON DR STE 5, Frederick, MD 21702

Secondary Practice Location 1

Location 187 Thomas Johnson Dr, Suite 101Frederick, MD 21702-4301 · Phone (301) 694-0606 · Fax (301) 662-6928

Other Identifiers 1

Medicaid412401400MD

Other Providers at the Same Location NPPES

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

Pediatrics
190 THOMAS JOHNSON DR STE 5
FREDERICK, MD 21702

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 Makaya Mulato's NPI number?

The NPI number for Makaya Mulato is 1295712560. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Makaya Mulato located?

Makaya Mulato practices at 190 Thomas Johnson Dr Ste 5, Frederick, MD 21702. The listed phone number is (012) 007-4444.

What is Makaya Mulato's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Makaya Mulato was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.