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

MS. Lori B Indenbaum, PA-C

Individual provider Physician Assistant · NPI 1255340683

MS. Lori B Indenbaum, PA-C is a Physician Assistant in Rockville, Maryland. Qualified in 1996, 30 years ago. Practices with Muslim Community Center, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
30
Licensed in
MD
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2101 E Jefferson St
Rockville, MD 20852-4908
Phone: (301) 816-2414
Fax: (301) 388-1740
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C01810 (MD)

Record details

NPI number1255340683
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Muslim Community Center — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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