KWASI A DEBRA MD
NPI 1972512408
Obstetrics & Gynecology - Gynecology in Glenn Dale, MD
About Kwasi A Debra Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KWASI A DEBRA MD (NPI 1972512408) is an individual gynecology provider in Glenn Dale, Maryland, licensed in Maryland (D0040683) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 9
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kwasi A Debra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kwasi Debra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glenn Dale, MD 20769
- Reassigned Medicare billing, District of Columbia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20769 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
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 Kwasi Debra's NPI number?
The NPI number for Kwasi Debra is 1972512408. It was assigned to this individual provider in the NPPES registry on August 5, 2006.
Where is Kwasi Debra located?
Kwasi Debra practices at 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769. The listed phone number is (301) 552-9495.
What is Kwasi Debra's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Kwasi Debra enrolled in Medicare?
Yes. Kwasi Debra is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kwasi Debra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kwasi Debra reassigns Medicare benefits to Maryland Specialty Group LLC (Glenn Dale, MD). The 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 Kwasi Debra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kwasi Debra was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kwasi A Debra, MD · NPI 1972512408
Gynecology physician in Glenn Dale, Maryland. Individual provider, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1972512408 (Entity type: Individual)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** D0040683 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12200 ANNAPOLIS RD, STE 123, Glenn Dale, MD 20769-9182
- **Phone:** (301) 552-9495 · **Fax:** (301) 552-9743
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Maryland Specialty Group LLC (NPI 1023157781, Glenn Dale, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2017
- **Other identifiers:** Other 52507102 (MD); Other 703633 (MD); Other H9050001 (MD); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972512408) · Data from the CMS NPPES public registry.