Active NPI
Sara Aileen Dudley, M.D.
- Radiation Oncology Physician
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D85507
- Practice address
- 10710 Charter Dr Ste G030
Columbia, MD 21044-3261 - Phone
- (443) 546-1300
- Fax
- (443) 546-1303
- NPI assigned
- Dec 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LPUniversity of Maryland Radiation Oncology Associates PAMaryland Proton Treatment Center, LLC
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
- Umd Upper Chesapeake Medical Center
- University of Maryland Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D85507 | MD | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Radiation Oncology Associates PA | Radiation Oncology | Current | Accepting new patients |
| Maryland Proton Treatment Center, LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| University of Maryland Radiation Oncology Associates PA | Radiation Oncology | Current | Accepting new patients |
| Radiation Oncology Affiliates of Maryland | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434
600 N Wolfe St
Baltimore, MD 21287
22 S Greene St
Bsmt
Baltimore, MD 21201
Phone (410) 328-3037
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
9333 Healthcare Way
Ste 1A100
Uppr Marlboro, MD 20774
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
Interoperability endpoints
- sdudley532989@direct.umm.edu
- 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 and National Provider Directory roles.
-
- Radiation Oncology Physician
- Baltimore, MD
- NPI 1780637272
DC, MD, Radiation Oncology
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Radiation Oncology Physician
- Olney, MD
- NPI 1386697787
Radiation Oncology
-
- Specialist
- Baltimore, MD
- NPI 1912977984
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.