Krystal Medical Associates LLC
NPI 1164604187 · Primary Care Clinic/Center · Glenn Dale, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krystal Medical Associates LLC is a Primary Care Clinic/Center organization in Glenn Dale, MD (NPI 1164604187).
Provider details
- NPI number
- 1164604187
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nwaehihie Onyeaghala, President(301) 486-0100
- License
- D0053461 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Krystal Medical Associates
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2014-08-18
Frequently asked questions
- What is Krystal Medical Associates LLC's NPI number?
- Krystal Medical Associates LLC's National Provider Identifier (NPI) is 1164604187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Krystal Medical Associates LLC?
- Krystal Medical Associates LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Krystal Medical Associates LLC located?
- Krystal Medical Associates LLC's practice location on file with NPPES is 12150 Annapolis Rd, Glenn Dale, MD 20769-9183.
- What is Krystal Medical Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Krystal Medical Associates LLC is (301) 464-7601.
- Does Krystal Medical Associates LLC accept Medicare?
- Krystal Medical Associates LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Krystal Medical Associates LLC?
- The authorized official listed on Krystal Medical Associates LLC's NPPES record is Nwaehihie Onyeaghala, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Krystal Medical Associates LLC's NPI active?
- Yes — Krystal Medical Associates LLC's NPI (1164604187) is active in the NPPES registry as of the last update on 2014-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.