D
IndividualActive
Derick T Mukom
Case Manager/Care Coordinator
NPI: 1013892074Glenn Dale, Maryland, 20769(832) 988-8970Male
About Derick T Mukom
Derick T Mukom is a male healthcare professional specializing in Case Manager/Care Coordinator, registered under National Provider Identifier (NPI) number 1013892074. Their primary practice is located at 6911 FOUNTAIN PARK DR, Glenn Dale, Maryland 20769.
Patients can reach the office at (832) 988-8970. Derick T Mukom has been NPI-registered since 2025.
Doctor Details
Identity & Credentials
- NPI Number
- 1013892074
- Entity Type
- Individual
- First Name
- Derick
- Last Name
- Mukom
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 6911 FOUNTAIN PARK DR
- City
- Glenn Dale
- State
- Maryland
- ZIP
- 20769-9484
- Country
- United States
- Phone
- (832) 988-8970
Specialty & Taxonomy
- Primary Specialty
- Case Manager/Care Coordinator
- Classification
- Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 6911 FOUNTAIN PARK DR
- City
- GLENN DALE
- State
- MD
- ZIP
- 207699484
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Derick T Mukom's NPI number?
Derick T Mukom's National Provider Identifier (NPI) is 1013892074. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Derick T Mukom specialize in?
Derick T Mukom specializes in Case Manager/Care Coordinator.
Where is Derick T Mukom located?
Derick T Mukom practices at 6911 FOUNTAIN PARK DR, Glenn Dale, Maryland 20769. You can reach them by phone at (832) 988-8970.
Does Derick T Mukom accept Medicare?
Based on available data, Derick T Mukom is not currently enrolled in the Medicare program.
Does Derick T Mukom offer telehealth or virtual visits?
Derick T Mukom does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Derick T Mukom is 1013892074.