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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMINICK JOSEPH MEMOLI MD
NPI 1689636938
Internal Medicine in Glen Burnie, MD

Active since April 03, 2006PECOS Enrolled
808 LANDMARK DR, GLEN BURNIE, MD 21061(410) 590-4141 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominick Joseph Memoli Md NPPES

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

DOMINICK JOSEPH MEMOLI MD (NPI 1689636938) is an individual internal medicine provider in Glen Burnie, Maryland, licensed in Maryland (DOO41141) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689636938
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOMINICK JOSEPH MEMOLICredential: MD
Location Address808 LANDMARK DRGlen Burnie, MD 21061-4447
Mailing Address17972 Dumfries CirOlney, MD 20832-1647 · (301) 774-1807
Phone(410) 590-4141
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1689636938 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 · DOO41141
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.
808 LANDMARK DR, Glen Burnie, MD 21061
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominick Joseph Memoli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 21061 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Other Providers at the Same Location NPPES 19

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

HORMONE REPLACEMENT CLILNIC
Specialist
808 LANDMARK DR, SUITE 116
GLEN BURNIE, MD 21061
Anne Arundel County (410) 595-5363
DR. BAYINNAH SHABAZZ M.D.
Internal Medicine (Nephrology)
808 LANDMARK DR, SUITE 122
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-3588
DR. JANET FERBER BROWN M.D.
Radiology (Diagnostic Radiology)
808 LANDMARK DR, SUITE 120
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-7979
NANCY COOPER
Dietitian, Registered (Nutrition, Renal)
808 LANDMARK DR, SUITE 122
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-3588
ANDREW ROBERT GOLDBERGER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
808 LANDMARK DR, SUITE 128
GLEN BURNIE, MD 21061
Anne Arundel County (410) 590-4141
FOOT & ANKLE CENTER OF MARYLAND, LLC
Podiatrist
808 LANDMARK DR, SUITE 225
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-3501
DR. VIJAY V KUMAR M.D.
Internal Medicine (Nephrology)
808 LANDMARK DR, SUITE 122
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-3588
LAUREN MICHELLE MARAGH MD
Internal Medicine
808 LANDMARK DR, SUITE 128
GLEN BURNIE, MD 21061
Anne Arundel County (410) 590-4140

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 Dominick Memoli's NPI number?

The NPI number for Dominick Memoli is 1689636938. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Dominick Memoli located?

Dominick Memoli practices at 808 Landmark Dr, Glen Burnie, MD 21061. The listed phone number is (410) 590-4141.

What is Dominick Memoli's specialty?

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

Is Dominick Memoli enrolled in Medicare?

Yes. Dominick Memoli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominick Memoli was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.