DR. MEMONA TAZAMAL M.D.
NPI 1669733754
Family Medicine in Wheaton, MD
About Dr. Memona Tazamal M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MEMONA TAZAMAL M.D. (NPI 1669733754) is an individual family medicine provider in Wheaton, Maryland, licensed in Maryland (D82355) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Memona Tazamal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Memona Tazamal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kensington, MD 20895
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Memona Tazamal's NPI number?
The NPI number for Memona Tazamal is 1669733754. It was assigned to this individual provider in the NPPES registry on June 5, 2012.
Where is Memona Tazamal located?
Memona Tazamal practices at 11901 Georgia Ave, Wheaton, MD 20902. The listed phone number is (301) 325-3504.
What is Memona Tazamal's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Memona Tazamal enrolled in Medicare?
Yes. Memona Tazamal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Memona Tazamal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Memona Tazamal reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, MD). The 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 Memona Tazamal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Memona Tazamal was last updated on December 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Memona Tazamal, M.D. · NPI 1669733754
Family Medicine physician in Wheaton, Maryland. Individual provider, active in the CMS NPPES registry since June 5, 2012.
## Identity
- **NPI:** 1669733754 (Entity type: Individual)
- **Enumerated:** June 5, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** D82355 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11901 GEORGIA AVE, Wheaton, MD 20902-2001
- **Phone:** (301) 325-3504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1376601872, Kensington, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 31, 2023
- **Other identifiers:** Other 207OOOOOX; Other 207QOOOOOX (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669733754) · Data from the CMS NPPES public registry.