Active NPI
Lionel Mue Kum, PA-C
- Medical Physician Assistant
- Princess Anne, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 12208 Brittingham Rd
Princess Anne, MD 21853-2214 - Phone
- (410) 651-1410
- NPI assigned
- Feb 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
12208 Brittingham Rd
Princess Anne, MD 21853-2214
Mailing address
205 Center St Ste 206
Mount Airy, MD 21771-5499
Phone (443) 421-1291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 Londontown Blvd
Suite 130
Eldersburg, MD 21784-6556
Phone (410) 549-7222
1505 E Churchville Rd
Bel Air, MD 21014-4742
4900 Beaver Run CT
Ellicott City, MD 21043-7917
Phone (443) 542-9630
504 E Ridgeville Blvd
A
Mount Airy, MD 21771-5942
Phone (301) 703-5452
9122 Hinks LN
Frederick, MD 21704-7005
Phone (240) 341-2654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries, LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Mep Health, LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Ell.E Wellness | Medical | Current | Accepting new patients |
Locations
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
7698 Dorchester Blvd
Ste 204
Hanover, MD 21076
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260
1011 Baltimore Blvd
Westminster, MD 21157
Phone (410) 848-1329
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
Organizations & group practices 13
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.
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1457478703
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Upper Marlboro, MD
- NPI 1194195008
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1942669494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CENTER ST STE 206",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715499",
"telephone_number": "443-421-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12208 BRITTINGHAM RD",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218532214",
"telephone_number": "410-651-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUM",
"first_name": "LIONEL",
"middle_name": "MUE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-12",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princess Anne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.