NPIMap

Individual provider Active NPI

Sean S Saedi, M. D.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1003896234
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M53887 Issued in MD
Practice address
12210 Plum Orchard Drive, Suite 212
Silver Spring, MD 20904
Phone
(301) 593-6844
Fax
(301) 593-3832
NPI assigned
Jan 23, 2006
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M53887 MD Primary

Addresses

Primary practice location

12210 Plum Orchard Drive, Suite 212
Silver Spring, MD 20904

Mailing address

12210 Plum Orchard Drive, Suite 212
Silver Spring, MD 20904
Phone (301) 593-6844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000276 DC Practitioner - Internal Medicine 8022008879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael E. Leibowitz, M.D.,P.C.Group PAC ID 9931299104, 3 clinicians
Maryland Internal Medicine IncGroup PAC ID 4688035488, 5 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

11120 New Hampshire Ave
Suite 305
Silver Spring, MD 20904-2680
Phone 30159368444

12210 Plum Orchard Dr
Suite 212
Silver Spring, MD 20904-7913
Phone (337) 422-6731

187 Thomas Johnson Dr
Frederick, MD 21702-4503

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M53887MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Leibowitz, M.D.,P.C. Internal Medicine CurrentSince Apr 1, 2011 Accepting new patients
Maryland Internal Medicine, Inc. Internal Medicine CurrentSince Jul 14, 2021 Accepting new patients
Forest Park Specialists, LLP Past Accepting new patients
Hospital Physician Services, LLLP Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11120 New Hampshire Ave
Ste 305
Silver Spring, MD 20904
Phone (301) 593-6844

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIGIAA/Endpoint/EIGIAA
  • Direct secure messaging: sean.saedi@mim.eclinicaldirectplus.com

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1003896234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 PLUM ORCHARD DRIVE, SUITE 212",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "301-593-6844",
            "fax_number": "301-593-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 PLUM ORCHARD DRIVE, SUITE 212",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "301-593-6844",
            "fax_number": "301-593-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEDI",
        "first_name": "SEAN",
        "middle_name": "S",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "M53887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.