Individual provider Active NPI

Michael Anthony Sauri, M.D., M.P.H.&T.M.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1003815424
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D35404 Issued in MD
Practice address
15005 Shady Grove Road
Suite 450
Rockville, MD 20850-6340
Phone
(301) 738-6420
Fax
(301) 738-2215
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Emergency Medicine) Physician 207PT0002X D35404 MD
Internal Medicine Physician 207R00000X D35404 MD Primary
Infectious Disease Physician 207RI0200X D35404 MD
Public Health & General Preventive Medicine Physician 2083P0901X D35404 MD
Medical Toxicology (Preventive Medicine) Physician 2083T0002X D35404 MD
Occupational Medicine Physician 2083X0100X D35404 MD

Addresses

Primary practice location

15005 Shady Grove Road
Suite 450
Rockville, MD 20850-6340

Mailing address

15005 Shady Grove Rd
Suite 450
Rockville, MD 20850-6340
Phone (301) 738-6420

Other identifiers 2

IdentifierTypeStateIssuer
52-1534800OtherMDTAXPAYER ID NUMBER
28214MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000231 DC Practitioner - Internal MedicinePractitioner - Preventive Medicine 7517155534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D35404MDMDMedical Toxicology (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a. Sauri, MD,PA CurrentSince Dec 30, 1987 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

15005 Shady Grove Rd
Ste 450
Rockville, MD 20850
Phone (301) 517-9710

2301 Research Blvd
Ste 125
Rockville, MD 20850
Phone (301) 738-6420

2301 Research Blvd
Ste 1
Rockville, MD 20850

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1003815424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUITE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-738-6420",
            "fax_number": "301-738-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE ROAD",
            "address_2": "SUITE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-738-6420",
            "fax_number": "301-738-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAURI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.&T.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "MD",
            "license": "D35404",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D35404",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D35404",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MD",
            "license": "D35404",
            "primary": false
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "MD",
            "license": "D35404",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "D35404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER ID NUMBER",
            "identifier": "52-1534800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28214",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.