Individual provider Active NPI

Lion Sassoon, D.P.M

  • Podiatrist
  • Owings Mills, MD
National Provider Identifier
1053852822
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P94790 Issued in MD
Practice address
9199 Reisterstown Rd Ste 107B
Owings Mills, MD 21117-4513
Phone
(410) 998-3993
Fax
(410) 998-3995
NPI assigned
Mar 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P94790 MD Primary

Addresses

Primary practice location

9199 Reisterstown Rd Ste 107B
Owings Mills, MD 21117-4513

Mailing address

9199 Reisterstown Rd Ste 107B
Owings Mills, MD 21117-4513
Phone (410) 998-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180720002533 DC Practitioner - Podiatry 4183971138 Reassigns benefits to 1 organization
I20220808003047 MD Practitioner - Podiatry 4183971138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9199 Reisterstown Rd
Suite 107B
Owings Mills, MD 21117-4513
Phone (410) 998-3883

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue88
Removal of skin lesions1-10
Removal of nail tissue1640
Removal or shaving of skin growth1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P94790MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Cohen DPM PA Podiatrist CurrentSince Jul 23, 2018 Accepting new patients
Lion Sassoon DPM LLC Podiatrist CurrentSince Jul 18, 2022 Accepting new patients
Richard S Cohen DPM PA CurrentSince Jul 23, 2018 Accepting new patients

Locations

7525 Greenway Center Dr
Ste 112
Greenbelt, MD 20770
Phone (301) 345-4087

9199 Reisterstown Rd
Ste 107B
Owings Mills, MD 21117
Phone (410) 998-3883

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1053852822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 107B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174513",
            "telephone_number": "410-998-3993",
            "fax_number": "410-998-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 107B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174513",
            "telephone_number": "410-998-3993",
            "fax_number": "410-998-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSOON",
        "first_name": "LION",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "P94790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.