Active NPI
Sandra Leni, MD, LLC
- Internal Medicine Physician
- Severna Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SANDRA LENI, MD, LLC
- Practice address
- 645 Baltimore Annapolis Boulevard
Suite 213
Severna Park, MD 21146 - Phone
- (240) 428-0528
- NPI assigned
- Nov 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra Leni, MD
- Title
- Physician
- Phone
- (240) 428-0528
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Skilled Nursing Facility | 314000000X | D0071495 | MD |
Addresses
Primary practice location
645 Baltimore Annapolis Boulevard
Suite 213
Severna Park, MD 21146
Mailing address
645 Baltimore Annapolis Boulevard
Suite 213
Severna Park, MD 21146
Phone (240) 428-0528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550010900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2187021 | Sandra Leni MD LLC | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
4000 River Crescent Dr
Annapolis, MD 21401
Phone (410) 224-8108
645 Baltimore Annapolis Blvd
Ste 213
Severna Park, MD 21146
Phone (240) 428-0528
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Severna Park, MD
- NPI 1760490270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576713600000",
"number": "1043616360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 BALTIMORE ANNAPOLIS BOULEVARD",
"address_2": "SUITE 213",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "21146",
"telephone_number": "240-428-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 BALTIMORE ANNAPOLIS BOULEVARD",
"address_2": "SUITE 213",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "21146",
"telephone_number": "240-428-0528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA LENI, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-13",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A",
"authorized_official_last_name": "LENI",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "240-428-0528",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MD",
"license": "D0071495",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "550010900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.