LEOLSEGED LEGESSE-MULUSHEWA PAC
NPI 1720332844
Physician Assistant in Lanham, MD

Q: What is Leolseged Legesse-mulushewa's NPI number?

The NPI number for Leolseged Legesse-mulushewa is 1720332844. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Q: What is Leolseged Legesse-mulushewa's specialty?

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

Active since October 29, 2012PECOS EnrolledAccepts Medicare Assignment

8118 GOOD LUCK RD, LANHAM, MD 20706(301) 552-8130 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leolseged Legesse-mulushewa Pac NPPES

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

LEOLSEGED LEGESSE-MULUSHEWA PAC (NPI 1720332844) is an individual physician assistant in Lanham, Maryland, licensed in Maryland (C0004755) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2011).

NPPES Registry Identity

NPI1720332844

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameLEOLSEGED LEGESSE-MULUSHEWACredential: PAC

Location Address8118 GOOD LUCK RDLanham, MD 20706-3574

Mailing Address1355 Peabody St Nw Apt 209Washington, DC 20011-1874 · (202) 468-6142

Phone(301) 552-8130

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2011

Enumeration DateOctober 29, 2012

Last NPPES UpdateJune 2, 2021

NPPES CertifiedJune 2, 2021

✔ NPI 1720332844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MD · C0004755✔ Licensed in DC · PA030848

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.

8118 GOOD LUCK RD, Lanham, MD 20706

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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 and accepts Medicare assignment

Leolseged Legesse-mulushewa Pac 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 ID1850614488

PECOS Enrollment IDI20160725000715

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20706 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.

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