Individual provider Active NPI

Alvin Sanico, M.D.

  • Allergy Physician
  • Towson, MD
National Provider Identifier
1104854108
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
D46370 Issued in MD
Practice address
6535 N Charles St
PPN 200
Towson, MD 21204-5826
Phone
(410) 583-8393
Fax
(410) 583-8394
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X D46370 MD Primary

Addresses

Primary practice location

6535 N Charles St
PPN 200
Towson, MD 21204-5826

Mailing address

6535 N Charles St
PPN 200
Towson, MD 21204-5826
Phone (410) 583-8393

Other identifiers 1

IdentifierTypeStateIssuer
841101800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000841 MD Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6901821321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6535 N Charles St
Suite 450
Towson, MD 21204-5833
Phone (410) 583-8393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma Sinus Allergy Program, LLC. Allergy CurrentSince Aug 15, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6535 N Charles St
Ste 200
Towson, MD 21204
Phone (410) 321-1195

6535 N Charles St
Ste 450
Towson, MD 21204
Phone (410) 583-8393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGAEBA/Endpoint/HGAEBA

Organizations & group practices 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1104854108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "PPN 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-583-8393",
            "fax_number": "410-583-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "PPN 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-583-8393",
            "fax_number": "410-583-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANICO",
        "first_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "D46370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841101800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.