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Med-Ped Healthcare, LLC

Preferred Provider Organization in College Park, MD · enumerated 2015 · authorized official Jamal Fadul, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114314150

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Registry record

Entity type Organization (Type 2)
Legal business name Med-Ped Healthcare, LLC
Practice address 4701 Melbourne Pl, College Park, MD, 20740
Fax (301) 345-6200
Enumeration date Apr 16, 2015
Last updated in NPPES Apr 16, 2015

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License D0053745 (MD) Primary

Authorized official

Name Jamal Fadul
Title Owner

Other identifiers

Identifier Type State Issuer
G00445 Other MD MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Med-Ped Healthcare, LLC?
The NPI for Med-Ped Healthcare, LLC is 1114314150, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Med-Ped Healthcare, LLC?
NPPES lists Jamal Fadul (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-16.