OrganizationActive
Medical Mall Services of Maryland, LLC
NPI 1124398086 · Health Service Clinic/Center · Cheverly, MD
Provider details
- NPI number
- 1124398086
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Bardwell, Chief Financial Officer(202) 459-4766
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Phone: (202) 459-4766
Approximate (ZIP-level) locationGet directions
Mailing address
8201 Corporate Dr
Hyattsville, MD 20785-2230
Other names (DBA / former)
- Doing business as
- Medical Mall Health Services
Registry dates
- Enumerated
- 2012-01-10
- Last updated
- 2012-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.