Individual provider Active NPI

Sarah Nakib, MD, MPH

  • Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1013100049
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D74548 Issued in MD
Practice address
601 N Caroline St
Baltimore, MD 21287-0006
Phone
(410) 955-8662
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D74548 MD Primary

Addresses

Primary practice location

601 N Caroline St
Baltimore, MD 21287-0006

Mailing address

PO Box 64252
Baltimore, MD 21264-4252
Phone (410) 955-8662

Other identifiers 1

IdentifierTypeStateIssuer
056886400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141110000786 DC Practitioner - Dermatology 7012163652 Reassigns benefits to 2 organizations
I20150325002591 VA Practitioner - Dermatology 7012163652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Minnesota Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2970 Chain Bridge Rd
Oakton, VA 22124-3037
Phone (703) 574-7510

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1343
Removal or shaving of skin growth1-10
Skin biopsy479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D74548MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Dermatology of Virginia, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Integrated Dermatology of Fairfax, LLC Dermatology PastSince Jan 1, 2020 Accepting new patients

Locations

10721 Main St
Ste 3100
Fairfax, VA 22030
Phone (703) 352-2620

2970 Chain Bridge Rd
Ste 1
Oakton, VA 22124

2970 Chain Bridge Rd
Oakton, VA 22124
Phone (571) 565-2220

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1013100049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64252",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644252",
            "telephone_number": "410-955-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKIB",
        "first_name": "SARAH",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D74548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056886400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.