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ALVINE MOMO AZOBOU PA-C
NPI 1699136945
Physician Assistant in Upper Marlboro, MD

Active since March 15, 2016PECOS Enrolled
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774(571) 317-8650 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Mar 15, 2016 (2 updates tracked since 2016).

About Alvine Momo Azobou Pa-c NPPES

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

ALVINE MOMO AZOBOU PA-C (NPI 1699136945) is an individual physician assistant in Upper Marlboro, Maryland, licensed in Maryland (C0009822) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699136945
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALVINE MOMO AZOBOUCredential: PA-C
Location Address901 HARRY S TRUMAN DR NUpper Marlboro, MD 20774-5477
Mailing Address7707 Willow Hill DrHyattsville, MD 20785-4685
Phone(571) 317-8650
Sole ProprietorNo
Enumeration DateMarch 15, 2016
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1699136945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0009822
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
901 HARRY S TRUMAN DR N, Upper Marlboro, MD 20774
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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)

Alvine Momo Azobou Pa-c 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 20774 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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 20

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

DR. ALAN BARTE MD
Emergency Medicine
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Prince George's County (240) 677-2000
LAUREN JEANINE WOODLEY CNM
Advanced Practice Midwife
901 HARRY S TRUMAN DR N
UPPER MARLBORO, MD 20774
Prince George's County (240) 677-3000
SAYED MOHAMMAD MILAD FEKRAT MD
Student in an Organized Health Care Education/Training Program
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Prince George's County (240) 677-3000
UNVERSITY OF MARYLAND MEDICAL CENTER
Midwife
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Prince George's County (240) 677-1000
BRENT J BAUER MD
Orthopaedic Surgery (Orthopaedic Trauma)
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Prince George's County (410) 448-6400
DR. LUIS ROBERTO BEJAR SAONA MD
Student in an Organized Health Care Education/Training Program
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Prince George's County (240) 677-3000
DR. TITA PALE NDOGNJEM DNAP/CRNA
Nurse Anesthetist, Certified Registered
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Prince George's County (202) 427-9403
OKECHUKWU MATTHEW OFODILE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Prince George's County (240) 677-2700

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 Alvine Momo Azobou's NPI number?

The NPI number for Alvine Momo Azobou is 1699136945. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Alvine Momo Azobou located?

Alvine Momo Azobou practices at 901 Harry S Truman Dr N, Upper Marlboro, MD 20774. The listed phone number is (571) 317-8650.

What is Alvine Momo Azobou's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alvine Momo Azobou enrolled in Medicare?

Yes. Alvine Momo Azobou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alvine Momo Azobou was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.