Individual provider Active NPI

Sara Aileen Dudley, M.D.

  • Radiation Oncology Physician
  • Columbia, MD
National Provider Identifier
1043589880
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D85507 Issued in MD
Practice address
10710 Charter Dr Ste G030
Columbia, MD 21044-3261
Phone
(443) 546-1300
Fax
(443) 546-1303
NPI assigned
Dec 23, 2011
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D85507 MD Primary

Addresses

Primary practice location

10710 Charter Dr Ste G030
Columbia, MD 21044-3261

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

875 Blake Wilbur Drive
CC-G222
Stanford, CA 94305-5847
Phone (650) 724-7673

Other names 1

  • Sara Aileen Madanikia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20180712001777 MD Practitioner - Radiation Oncology 2567718166 Reassigns benefits to 3 organizations
I20210701002864 DC Practitioner - Radiation Oncology 2567718166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Johns Hopkins University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Maryland Proton Treatment Center, LLCGroup PAC ID 5597070524, 23 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6080

850 W Baltimore St
Baltimore, MD 21201-1154
Phone (410) 227-7434

9333 Healthcare Way
Suite 1 A100
Upper Marlboro, MD 20774-5484
Phone (667) 225-3130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D85507MDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Proton Treatment Center, LLC CurrentSince Dec 24, 2025 Accepting new patients
Johns Hopkins University CurrentSince Jun 1, 2020 Accepting new patients
University of Maryland Radiation Oncology Associates PA Radiation Oncology CurrentSince Feb 1, 2024 Accepting new patients
University of Maryland Radiation Oncology Associates PA Radiation Oncology CurrentSince Jul 1, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients
Radiation Oncology Affiliates of Maryland PastSince Jul 1, 2005 Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Bsmt
Baltimore, MD 21201
Phone (410) 328-3037

600 N Wolfe St
Baltimore, MD 21287

850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

10710 Charter Dr
Ste G030
Columbia, MD 21044
Phone (443) 546-1300

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

7501 Osler Dr
Ste G04
Towson, MD 21204
Phone (410) 427-2525

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

9333 Healthcare Way
Ste 1A100
Uppr Marlboro, MD 20774

Interoperability endpoints

  • Direct secure messaging: sdudley532989@direct.umm.edu
  • Direct secure messaging: sdudley59657@direct.hopkinsmedicine.org

Organizations & group practices 7

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.

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": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1043589880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE G030",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443261",
            "telephone_number": "443-546-1300",
            "fax_number": "443-546-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Blake Wilbur Drive",
            "address_2": "CC-G222",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943055847",
            "country_code": "US",
            "telephone_number": "650-724-7673",
            "fax_number": "650-725-8231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "SARA",
        "middle_name": "AILEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D85507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MADANIKIA",
            "middle_name": "AILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.