Active NPI
Michael Anthony Sauri, M.D., M.P.H.&T.M.
- Internal Medicine Physician
- Rockville, MD
National Provider Identifier
1003815424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D35404
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52-1534800 | Other | MD | TAXPAYER ID NUMBER |
| 28214 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101217000231 | DC | Practitioner - Internal Medicine | 7517155534 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D35404 | MD | MD | Medical Toxicology (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a. Sauri, MD,PA | Current | 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.
-
- Clinic/Center
- Rockville, MD
- NPI 1295038784
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.