Individual provider Active NPI

Sarah Rebecca Gliksman, MD

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1023156353
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0035196 Issued in MD
Practice address
1121 University Blvd W
Silver Spring, MD 20902-3356
Phone
(240) 893-9149
NPI assigned
Feb 1, 2007
Last updated
Oct 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0035196 MD Primary
Internal Medicine Physician 207R00000X 0101235501 VA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X D0035196 MD
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 0101235501 VA

Addresses

Primary practice location

1121 University Blvd W
Silver Spring, MD 20902-3356

Mailing address

PO Box 1854
Wheaton, MD 20915-1854
Phone (240) 893-9149

Other names 1

  • Sarah Rebecca Gliksman Dachman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20100422000922 DC Practitioner - Internal MedicinePractitioner - Preventive MedicinePractitioner - General Practice 3870620859 Reassigns benefits to 1 organization
I20160524001036 MD Practitioner - Internal MedicinePractitioner - Preventive Medicine 3870620859

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235501VAMDInternal Medicine Physician
D0035196MDMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Urgent Health Care Services, LLC CurrentSince Dec 26, 2016 Accepting new patients
Crescent Urgent Health Care Services LLC PastSince Dec 26, 2016 Accepting new patients
Advanced Physical Medicine & Rehabilitation of Virginia Past Accepting new patients
Virginia Pain & Rehab, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ignaz P Jarbadan MD PC Internal Medicine PastSince Apr 5, 2019 Accepting new patients

Locations

10540 Connecticut Ave
Kensington, MD 20895
Phone (301) 949-0030

13428 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 384-5010

Organizations & group practices 6

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1023156353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1854",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209151854",
            "telephone_number": "240-893-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 UNIVERSITY BLVD W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023356",
            "telephone_number": "240-893-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIKSMAN",
        "first_name": "SARAH",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0035196",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101235501",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MD",
            "license": "D0035196",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "VA",
            "license": "0101235501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GLIKSMAN DACHMAN",
            "middle_name": "REBECCA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.