Organization
Krystal Medical Associates LLC
Provider's NPPES record last updated: September 4, 2026
Overview
- Entity Type
- Organization
- NPI
- 1164604187
- Primary Specialty
- Clinic/Center — Primary Care
- Practice Location
- Glenn Dale, Maryland
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 11:38 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Primary Care
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QP2300X Clinic/Center
Multi-Specialty
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QM1300X
Provider-Reported License Information
- Clinic/Center (Maryland)
- D0053461
- Clinic/Center (Maryland)
- D0053461
Practice Locations
Practice Location
12150 Annapolis Rd Ste 100
Glenn Dale, Maryland 20769-9183
Phone: (301) 464-7601
Additional Practice Location
650 Pennsylvania Ave Se
Washington, District of Columbia 20003-4318
Phone: (301) 464-7601
Fax: (866) 885-9817
Other Names
- Krystal Medical AssociatesReported November 30, 2007
Record Information
- Enumeration Date
- November 30, 2007
- Provider's NPPES Record Last Updated
- September 4, 2026
- Certification Date
- September 4, 2026
- NPISignal NPPES Dataset
- August 2026
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