Individual provider Active NPI

Moustapha Drame, PA

  • Physician Assistant
  • Laurel, MD
National Provider Identifier
1710487459
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3450 Laurel Fort Meade Rd
Laurel, MD 20724-2040
Phone
(301) 317-8660
Fax
(301) 317-8663
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3450 Laurel Fort Meade Rd
Laurel, MD 20724-2040

Mailing address

3450 Laurel Fort Meade Rd
Laurel, MD 20724-2040
Phone (301) 317-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180627000360 DC Practitioner - Physician Assistant 5698021087 Reassigns benefits to 5 organizations
I20180730000301 MD Practitioner - Physician Assistant 5698021087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131
Phone (202) 574-5700

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

9106 Pine View LN
Clinton, MD 20735-3229
Phone (301) 865-2930

Hospital & facility affiliations

  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 30, 2023 Accepting new patients
Synergy Medical Group LLC CurrentSince Dec 9, 2024 Accepting new patients
Synergy Medical Group LLC CurrentSince Dec 9, 2024 Accepting new patients
Synergy Medical Group LLC CurrentSince Dec 9, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 12, 2023 Accepting new patients

Locations

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

Organizations & group practices 11

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 1

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1710487459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LAUREL FORT MEADE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-317-8660",
            "fax_number": "301-317-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LAUREL FORT MEADE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-317-8660",
            "fax_number": "301-317-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAME",
        "first_name": "MOUSTAPHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.