Active NPI
Germeen Adel Sidarous, PA
- Physician Assistant
- Fort Washington, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11701 Livingston Rd Ste 302
Fort Washington, MD 20744-5146 - Phone
- (301) 292-6010
- NPI assigned
- Dec 29, 2022
- Last updated
- Dec 29, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
11701 Livingston Rd Ste 302
Fort Washington, MD 20744-5146
Mailing address
6932 Fairfax Dr Unit 304
Arlington, VA 22213-1030
Phone (703) 625-6648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11701 Livingston Rd
Suite 302
Ft Washington, MD 20744-5146
Phone (301) 292-6010
2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.95 of 100
- Quality
- 78.27
- Promoting interoperability
- 91
- Improvement activities
- 20
- Cost
- 74.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 78.47
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 82.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Maryland PC | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Current | Accepting new patients |
Locations
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
11701 Livingston Rd
Ste 302
Ft Washington, MD 20744
Phone (301) 292-6010
101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010
2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565
7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464
Interoperability endpoints
- germeen.sidarous@adcs1.emadirect.md
- https://api.platform.athenahealth.com/6533/brand/1/csg/1/fhir/r4
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.
-
- Dermatology Physician
- Fort Washington, MD
- NPI 1386479004
-
- Dermatology Physician
- La Plata, MD
- NPI 1477388197
-
- Dermatology Physician
- National Harbor, MD
- NPI 1881429504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1063125524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6932 FAIRFAX DR UNIT 304",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222131030",
"telephone_number": "703-625-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 LIVINGSTON RD STE 302",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207445146",
"telephone_number": "301-292-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDAROUS",
"first_name": "GERMEEN",
"middle_name": "ADEL",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.