Organization Active NPI

Sanjay Prasad MD PA

Doing business as Metropolitan NeuroEar Group

  • Otology & Neurotology Physician
  • Rockville, MD
National Provider Identifier
1023293354
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
SANJAY PRASAD MD PA
Doing business as
Metropolitan NeuroEar Group
Practice address
15005 Shady Grove Rd Ste 350
Rockville, MD 20850-6376
Phone
(301) 493-9409
Fax
(301) 493-9429
NPI assigned
Jan 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Sanjay Prasad, MDNPI 1437232139
Title
President
Phone
(301) 807-3840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0901X Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

15005 Shady Grove Rd Ste 350
Rockville, MD 20850-6376

Mailing address

15005 Shady Grove Rd Ste 35O
Rockville, MD 20850-6340
Phone (301) 493-9409

Other practice location 1

3020 Hamaker Ct Ste B104
Fairfax, VA 22031-2220
Phone (301) 493-9409

Other practice location 2

11705 Berry Rd Ste 103
Waldorf, MD 20603-5933
Phone (301) 493-9409

Other names 1

  • Metropolitan NeuroEar Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141103001016 DC Part B Supplier - Clinic/Group Practice 6608064068 Receives reassigned benefits from 3 practitioners
Practice locations: Rockville, MD
O20170104000727 MD Part B Supplier - Clinic/Group Practice 6608064068 Receives reassigned benefits from 2 practitioners
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory

Locations

1101 Wootton Pkwy
Ste 900A
Rockville, MD 20852

15005 Shady Grove Rd
Ste 35O
Rockville, MD 20850

11705 Berry Rd
Ste 301
Waldorf, MD 20603
Phone (301) 493-9409

3023 Hamaker Ct
Ste 114
Fairfax, VA 22031
Phone (321) 689-0084

3020 Hamaker Ct
Ste B104
Fairfax, VA 22031
Phone (301) 493-9409

8505 Arlington Blvd
Ste 270
Fairfax, VA 22031
Phone (703) 352-3758

Interoperability endpoints

  • Direct secure messaging: sanjayprasad@spmdpa.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1023293354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD STE 35O",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-493-9409",
            "fax_number": "301-493-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD STE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506376",
            "telephone_number": "301-493-9409",
            "fax_number": "301-493-9429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Hamaker Ct Ste B104",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312220",
            "country_code": "US",
            "telephone_number": "301-493-9409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11705 Berry Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206035933",
            "country_code": "US",
            "telephone_number": "301-493-9409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANJAY PRASAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-807-3840",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan NeuroEar Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.