DR. MEMONA TAZAMAL M.D.
NPI 1669733754
Family Medicine in Wheaton, MD

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
11901 GEORGIA AVE, WHEATON, MD 20902(301) 325-3504 Get Directions Write a Review

NPPES record last updated: December 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2021, Jun 21, 2021 (2 updates tracked since 2021).

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

NPI1669733754
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MEMONA TAZAMALCredential: M.D.
Location Address11901 GEORGIA AVEWheaton, MD 20902-2001
Mailing Address11901 Georgia AveWheaton, MD 20902-2001 · (301) 325-3504
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 5, 2012
Last NPPES UpdateDecember 31, 20232 updates tracked since enumeration
NPPES CertifiedDecember 31, 2023
NPI 1669733754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D82355
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116024334 (VA)
11901 GEORGIA AVE, Wheaton, MD 20902

Other Identifiers 2

Other207OOOOOXFamily Medicine
Other207QOOOOOXVA · Family Medicine

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3971737438
PECOS Enrollment IDI20161212000049
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$14.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
11901 GEORGIA AVE
WHEATON, MD 20902
Internal Medicine
11901 GEORGIA AVE
WHEATON, MD 20902
Optometrist
11901 GEORGIA AVE
WHEATON, MD 20902
Physical Therapist
11901 GEORGIA AVE
WHEATON, MD 20902
Physical Therapist (Geriatrics)
11901 GEORGIA AVE
WHEATON, MD 20902
Occupational Therapist
11901 GEORGIA AVE
WHEATON, MD 20902
Occupational Therapist
11901 GEORGIA AVE
WHEATON, MD 20902
Skilled Nursing Facility
11901 GEORGIA AVE
SILVER SPRING, MD 20902

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.

When was this NPI record last updated?

The NPPES record for Memona Tazamal was last updated on December 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.