Individual provider Active NPI

Sara Dereath Collins, M.D.

  • Cardiovascular Disease Physician
  • Bowie, MD
National Provider Identifier
1023275229
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD36271 Issued in DC
Practice address
16900 Science Dr Ste 200
Bowie, MD 20715-4425
Phone
(410) 573-9805
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD36271 DC Primary

Addresses

Primary practice location

16900 Science Dr Ste 200
Bowie, MD 20715-4425

Mailing address

16900 Science Dr Ste 200
Bowie, MD 20715-4425
Phone (410) 573-9805

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
I20110603000410 DC Practitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0941487763 Reassigns benefits to 3 organizations
I20140603000168 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0941487763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Meharry Medical College School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Cardiac Care, P.a.Group PAC ID 4880582527, 2 clinicians

Practice addresses (Care Compare)

16900 Science Dr
Suite 200
Bowie, MD 20715-4425
Phone (410) 573-9805

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36271DCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cupid Medical PSC Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients
Privia Medical Group, LLC Cardiovascular Disease CurrentSince Nov 26, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 26, 2013 Accepting new patients
Chesapeake Cardiac Care, P.a. Cardiovascular Disease CurrentSince Feb 11, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sibley Billing Services, Inc. Cardiovascular Disease Past Accepting new patients

Locations

1160 Varnum St NE
Ste 100
Washington, DC 20017
Phone 2025269746104

5215 Loughboro Rd NW
Ste 460
Washington, DC 20016
Phone (202) 244-9300

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

888 Bestgate Rd
Ste 215
Annapolis, MD 21401
Phone (410) 573-9805

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

16900 Science Dr
Ste 200
Bowie, MD 20715
Phone (410) 573-9805

9711 Washingtonian Blvd
Ste 550
Gaithersburg, MD 20878
Phone (240) 255-9804

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: sara.collins.1@27406.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1023275229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 SCIENCE DR STE 200",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154425",
            "telephone_number": "410-573-9805",
            "fax_number": "410-573-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 SCIENCE DR STE 200",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154425",
            "telephone_number": "410-573-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SARA",
        "middle_name": "DEREATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD36271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.