Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Canaan Mekonnen, PA

Individual provider Physician Assistant · NPI 1437747821

Canaan Mekonnen, PA is a Physician Assistant in Rockville, Maryland. Qualified in 2020, 6 years ago. Practices with Hartford Healthcare Urgent Care Centers LLC, a 203-clinician group and accepts Medicare assignment. Licensed in California and Maryland.

Years since qualifying
6
Licensed in
CA, MD
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15215 Shady Grove Rd Ste 100
Rockville, MD 20850-3235
Phone: (240) 506-0530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67008 (CA)
Physician Assistant Taxonomy 363A00000X · Licence C0007774 (MD)

Record details

NPI number1437747821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 1, 2021
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hartford Healthcare Urgent Care Centers Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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