Individual provider Active NPI

Mabel Majekodunmi, DO

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1346860087
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102208484 Issued in VA
Practice address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone
(718) 250-8000
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102208484 VA Primary
Emergency Medicine Physician 207P00000X 6435 TN
Emergency Medicine Physician 207P00000X H0102156 MD
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

121 Dekalb Ave
Brooklyn, NY 11201-5425

Mailing address

121 Dekalb Ave
Brooklyn, NY 11201-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240603000833 DC Practitioner - Emergency Medicine 2769924000 Reassigns benefits to 2 organizations
I20250321000264 MD Practitioner - Emergency Medicine 2769924000 Reassigns benefits to 1 organization
I20251015000089 VA Practitioner - Emergency Medicine 2769924000 Reassigns benefits to 1 organization
I20260211000295 TN Practitioner - Emergency Medicine 2769924000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam Emergency Physicians PLLCGroup PAC ID 3779946488, 34 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

1211 Liberty Rd
Eldersburg, MD 21784-7927
Phone (410) 617-9129

14090 HG Trueman Rd
Suite 1300
Solomons, MD 20688-3151
Phone (410) 394-2800

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

821 Prince Frederick Blvd
Prince Frederick, MD 20678-3137
Phone (410) 535-8911

8825 Woodyard Rd
Suite 100
Clinton, MD 20735-2754
Phone (240) 746-1330

99 Baughmans LN
Frederick, MD 21702-4904
Phone (301) 662-1392

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 23, 2024 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 23, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Mar 18, 2025 Accepting new patients
CRH MD Management LLC CurrentSince Mar 18, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 25, 2025 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

8825 Woodyard Rd
Ste 100
Clinton, MD 20735
Phone (240) 746-1330

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1346860087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJEKODUNMI",
        "first_name": "MABEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102208484",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "6435",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0102156",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.