MUKEMIL ABDELLA MD LLC
NPI 1376604926
Internal Medicine in Glenn Dale, MD

Active since December 13, 2006
12200 ANNAPOLIS RD, SUITE 229, GLENN DALE, MD 20769(240) 245-4421(240) 245-4424 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mukemil Abdella Md Llc NPPES

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

MUKEMIL ABDELLA MD LLC (NPI 1376604926) is a healthcare organization registered as an internal medicine in Glenn Dale, Maryland and active in the NPI registry since December 2006. The organization lists Mukemil Abdella, Md, as its authorized official.

NPPES Registry Identity

NPI1376604926
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMUKEMIL ABDELLA MD LLC
Location Address12200 ANNAPOLIS RD, SUITE 229Glenn Dale, MD 20769-9180
Mailing Address12200 Annapolis Rd, Suite 229Glenn Dale, MD 20769-9180 · (240) 245-4421 · Fax (240) 245-4424
Fax(240) 245-4424
Organization SubpartNo
Authorized OfficialMukemil AbdellaMd · (240) 245-4421
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1376604926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0059981
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12200 ANNAPOLIS RD, Glenn Dale, MD 20769

Other Identifiers 11

OtherJ120001DC · Dc Bc Bs
Medicare UPINH94017MD
Other1871603381DC · Individual Npi Number
Medicaid036237200DC
Other3237294MD · Aetna
OtherKFS6MUMD · Md Bc Bs
Other2119347MD · First Health
Other617873MD · National Capital Ppo
Medicaid403013300MD
Medicare ID-Type UnspecifiedG01314MD
Other2115095MD · Alliance

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mukemil Abdella Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20040225000353Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mukemil Abdella MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871603381
12200 ANNAPOLIS RD SUITE 229
Glenn Dale, MD 20769
(240) 245-4421
✔ PECOS✔ Accepts MedicareSame address

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 Mukemil Abdella MD LLC's NPI number?

The NPI number for Mukemil Abdella MD LLC is 1376604926. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Mukemil Abdella MD LLC located?

Mukemil Abdella MD LLC is located at 12200 Annapolis Rd Suite 229, Glenn Dale, MD 20769. The listed phone number is (240) 245-4421.

What is Mukemil Abdella MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mukemil Abdella MD LLC enrolled in Medicare?

Yes. Mukemil Abdella MD LLC is registered in the Medicare PECOS enrollment system.

When is Mukemil Abdella MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mukemil Abdella MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mukemil Abdella MD LLC. 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 Mukemil Abdella MD LLC was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.