Individual provider Active NPI

Padmini Sagar, MD

  • Pediatrics Physician
  • Parkville, MD
National Provider Identifier
1043210412
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0064586 Issued in MD
Practice address
8114 Harford Rd
Parkville, MD 21234-5796
Phone
(410) 661-5800
Fax
(410) 665-4179
NPI assigned
Jul 28, 2005
Last updated
Nov 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0064586 MD Primary

Addresses

Primary practice location

8114 Harford Rd
Parkville, MD 21234-5796

Mailing address

8114 Harford Rd
Parkville, MD 21234-5796
Phone (410) 661-5800

Other identifiers 2

IdentifierTypeStateIssuer
422388800MedicaidMD
232460YEVBOtherMEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000058 MD Practitioner - Pediatric Medicine 8820120439 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Suburban Physician Group II LLC Current Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Mar 17, 2014 Accepting new patients
Lifebridge Community Physicians, Inc Pediatrics CurrentSince Mar 17, 2014 Accepting new patients
Lifebridge Suburban Physician Group II, LLC Pediatrics CurrentSince Apr 30, 2019 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Past Accepting new patients

Locations

8114 Harford Rd
Parkville, MD 21234
Phone (410) 661-5800

12221 Tullamore Rd
Timonium, MD 21093
Phone (410) 308-7840

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

3527 N Rolling Rd
Ste 1
Windsor Mill, MD 21244
Phone (410) 521-7337

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1043210412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345796",
            "telephone_number": "410-661-5800",
            "fax_number": "410-665-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345796",
            "telephone_number": "410-661-5800",
            "fax_number": "410-665-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAR",
        "first_name": "PADMINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0064586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422388800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "232460YEVB",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.