Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Krystal Medical Associates LLC

Q: What type of organization is Krystal Medical Associates LLC?

Krystal Medical Associates LLC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Primary Care Clinic/Center in Glenn Dale, MD · enumerated 2007 · authorized official Nwaehihie Onyeaghala, President.

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

National Provider Identifier

1164604187

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Registry record

Entity type Organization (Type 2)

Legal business name Krystal Medical Associates LLC

Other name <Unavail>

Practice address 12150 Annapolis Rd, Suite 100, Glenn Dale, MD, 20769

Phone (301) 464-7601

Fax (866) 885-9817

Enumeration date Nov 30, 2007

Last updated in NPPES Aug 18, 2014

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities · License D0053461 (MD) Secondary

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License D0053461 (MD) Primary

Authorized official

Name Nwaehihie Onyeaghala

Title President

Phone (301) 486-0100

Other identifiers

Identifier	Type	State	Issuer
402647100	Medicaid	MD	-
010012902	Medicaid	VA	-
034934800	Medicaid	DC	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Krystal Medical Associates LLC?

Krystal Medical Associates LLC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Vaul Phillips Physical Medicine & Rehabilitation Physician · Glenn Dale, MD NPI 1952306060 Nader Dakak Cardiovascular Disease Physician · Glenn Dale, MD NPI 1457332652 Musa Momoh Internal Medicine Physician · Glenn Dale, MD NPI 1184607277 Farhad Jamali Internal Medicine Physician · Glenn Dale, MD NPI 1548248388 Mary Ogunsanya Pediatrics Physician · Glenn Dale, MD NPI 1922035633 Olumuyiwa Paul MD PA Specialist · Glenn Dale, MD NPI 1427074988 Nwaehihie Onyeaghala General Practice Physician · Glenn Dale, MD NPI 1114938800 Parand Alavi Internal Medicine Physician · Glenn Dale, MD NPI 1801976139

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-18.