Individual provider Active NPI

Sandeep Saran, D.O

  • Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1033538459
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A24058 Issued in CA
Practice address
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431-0001
Phone
(253) 968-2252
NPI assigned
Apr 14, 2014
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS16532 FL
Psychiatry Physician 2084P0800X 2022-02745 NC
Psychiatry Physician 2084P0800X 20A24058 CA Primary
Psychiatry Physician 2084P0800X 0102204464 VA
Psychiatry Physician 2084P0800X OP61329860 WA

Addresses

Primary practice location

Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431-0001

Mailing address

Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431-0001
Phone (253) 968-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 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
I20210120003065 VA Practitioner - Psychiatry 8123432861 Reassigns benefits to 4 organizations
I20211202001671 FL Practitioner - Psychiatry 8123432861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A24058CAMDPsychiatry Physician
OS16532FLMDPsychiatry Physician
2022-02745NCMDPsychiatry Physician
OP61329860WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Sep 1, 2022 Accepting new patients
CMH Physician Services, LLC Psychiatry CurrentSince Dec 1, 2020 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Oct 23, 2021 Accepting new patients
CMH Physician Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Sep 1, 2022 Accepting new patients
MCV Associated Physicians Psychiatry CurrentSince Oct 20, 2021 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Oct 23, 2021 Accepting new patients

Locations

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8680 Hospital Way
Manassas, VA 20110
Phone (703) 369-8055

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

Organizations & group practices 10

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1033538459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAN",
        "first_name": "SANDEEP",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS16532",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2022-02745",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A24058",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102204464",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP61329860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.