MAHEK FATEMA KERMALLI (MMS, PA-C) – Medical Physician Assistant, NPI 1639987423

MAHEK FATEMA KERMALLI (MMS, PA-C) is a healthcare provider. based in Maitland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MMS, PA-C. They hold a License No. 9119654 (FL). The NPI Number for MAHEK FATEMA KERMALLI (MMS, PA-C) is 1639987423

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MAHEK FATEMA KERMALLI (MMS, PA-C)
NPI
1639987423
Phone
Not provided
Address
635 N MAITLAND AVE
Enumeration Date
25 December 2024
Last Update Date
25 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
9335663079
Group Practice PAC ID
6002264173
Professional Enrollment ID
I20250403002757
Address ID
FL327014907AL247XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MAHEK FATEMA KERMALLI (MMS, PA-C)

  • 635 N MAITLAND AVE

    MAITLAND, FL 327514422

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250403002757IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002264173View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does MAHEK FATEMA KERMALLI (MMS, PA-C) have a public NPI I can cite?
Public records show MAHEK FATEMA KERMALLI (MMS, PA-C) under NPI 1639987423.
Quick check: is MAHEK FATEMA KERMALLI (MMS, PA-C) active?
Public NPPES data shows MAHEK FATEMA KERMALLI (MMS, PA-C) with an active NPI status right now.
What type of care does MAHEK FATEMA KERMALLI (MMS, PA-C) provide?
MAHEK FATEMA KERMALLI (MMS, PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MAHEK FATEMA KERMALLI (MMS, PA-C)?
The directory associates MAHEK FATEMA KERMALLI (MMS, PA-C) with Maitland, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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