Mafot & Associates Medical Services LLC
NPI 1104248541ActiveOrganization· General Practice· Glen Burnie, MD
General Practice in Glen Burnie, Maryland, registered in NPPES in January 2014. The authorized official on file is Dagobert Simo, MD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104248541 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2014 |
| Last updated in NPPES | Aug 31, 2022 |
| Certified by provider | Aug 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | D0073466 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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