GILGAL GROUP PA
NPI 1790345270
Community/Behavioral Health in Arbutus, MD
About Gilgal Group Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GILGAL GROUP PA (NPI 1790345270) is a healthcare organization registered as a community/behavioral health in Arbutus, Maryland and active in the NPI registry since June 2019. The organization lists Frederick Olumide Kumolalo, Ceo/program Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gilgal Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gilgal Group PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gilgal Group PA's NPI number?
The NPI number for Gilgal Group PA is 1790345270. It was assigned to this organization in the NPPES registry on June 18, 2019.
Where is Gilgal Group PA located?
Gilgal Group PA is located at 5205 East Dr Ste H, Arbutus, MD 21227. The listed phone number is (443) 631-3878.
What is Gilgal Group PA's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Gilgal Group PA enrolled in Medicare?
Yes. Gilgal Group PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gilgal Group PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gilgal Group PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gilgal Group PA was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Gilgal Group Pa · NPI 1790345270
Community/Behavioral Health organization in Arbutus, Maryland. Organization record, active in the CMS NPPES registry since June 18, 2019.
## Identity
- **NPI:** 1790345270 (Entity type: Organization)
- **Enumerated:** June 18, 2019
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Frederick Kumolalo, CEO/PROGRAM ADMINISTRATOR
## Practice location
- **Address:** 5205 EAST DR STE H, Arbutus, MD 21227-2403
- **Phone:** (443) 631-3878
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1790345270) · Data from the CMS NPPES public registry.