Organization Active NPI

Asthma Allergy and Sinus Center, LLC

  • Clinic/Center
  • Waldorf, MD
National Provider Identifier
1073610127
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D46292 Issued in MD
Legal business name
ASTHMA ALLERGY AND SINUS CENTER, LLC
Practice address
3600 Leonardtown Road
Suite 103
Waldorf, MD 20601
Phone
(301) 843-2223
Fax
(301) 705-9720
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Mr. Sudhir Sekhsaria, MDNPI 1568423606
Title
Owner/Physician
Phone
(301) 843-2223

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D38016 MD
Clinic/Center 261Q00000X D46292 MD Primary

Addresses

Primary practice location

3600 Leonardtown Road
Suite 103
Waldorf, MD 20601

Mailing address

3600 Leonardtown Road
Suite 103
Waldorf, MD 20601
Phone (301) 843-2223

Other identifiers 4

IdentifierTypeStateIssuer
371MOtherMDMEDICARE
357046100MedicaidMD
P00014305OtherMDRAILROAD MEDICARE
DA4048OtherMDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000552 MD Part B Supplier - Clinic/Group Practice 2062406085 Receives reassigned benefits from 3 practitioners
Practice locations: Waldorf, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2019973Asthma Allergy and Sinus Center3600 Leonardtown Rd Suite #103, Waldorf, MD 20601Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

121 Congressional Ln
Ste 312
Rockville, MD 20852
Phone (301) 816-8681

6245 Executive Blvd
Rockville, MD 20852
Phone (301) 468-5922

3600 Leonardtown Rd
Ste 103
Waldorf, MD 20601
Phone (301) 645-2034

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1073610127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LEONARDTOWN ROAD",
            "address_2": "SUITE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-843-2223",
            "fax_number": "301-705-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LEONARDTOWN ROAD",
            "address_2": "SUITE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-843-2223",
            "fax_number": "301-705-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA ALLERGY AND SINUS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "SEKHSARIA",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "301-843-2223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D38016",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D46292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "371M",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357046100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00014305",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4048",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.

Verify at the official NPI Registry.