Active NPI
Alvin Sanico, M.D.
- Allergy Physician
- Towson, MD
National Provider Identifier
1104854108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- D46370
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841101800 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asthma Sinus Allergy Program, LLC. | Allergy | Current | 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
- 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.
-
- Allergy Physician
- Towson, MD
- NPI 1730374448
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.