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

Leolseged Legesse-Mulushewa, PAC

Individual provider Physician Assistant · NPI 1720332844

Leolseged Legesse-Mulushewa, PAC is a Physician Assistant in Lanham, Maryland. Graduated from Howard University College of Medicine in 2011, 15 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Maryland.

Years since qualifying
15
Trained at
Howard University College of Medicine
Licensed in
DC, MD
In the registry since
2012
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone: (301) 552-8130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0004755 (MD)
Physician Assistant Taxonomy 363A00000X · Licence PA030848 (DC)

Record details

NPI number1720332844
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 29, 2012
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address1355 Peabody St Nw Apt 209, Washington, DC 20011-1874

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lanham