Active NPI
Henry Daniel Sandel IV, M.D.
- Facial Plastic Surgery Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- D67391
- Practice address
- 127 Lubrano Dr
Suite 102
Annapolis, MD 21401-7114 - Phone
- (410) 266-7120
- Fax
- (410) 266-6042
- NPI assigned
- Jun 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 01063072A | IN | |
| Facial Plastic Surgery Physician | 207YS0123X | D67391 | MD | Primary |
Addresses
Primary practice location
127 Lubrano Dr
Suite 102
Annapolis, MD 21401-7114
Mailing address
127 Lubrano Dr
Suite 102
Annapolis, MD 21401-7114
Phone (410) 266-7120
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
- Otolaryngology
- Education
- University of South Carolina School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 Ridgely Ave
Suite 201
Annapolis, MD 21401-1440
Phone (410) 266-7120
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063072A | IN | MD | Facial Plastic Surgery Physician |
| D67391 | MD | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandel Center for Facial Plastic Surgery LLC | Facial Plastic Surgery | Current | Accepting new patients |
| West Annapolis Surgery Center, LLC | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
104 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 266-7120
127 Lubrano Dr
Ste 102
Annapolis, MD 21401
Phone (410) 224-2020
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.
-
- Facial Plastic Surgery Physician
- Annapolis, MD
- NPI 1306018866
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1467844068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1164624763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 LUBRANO DR",
"address_2": "SUITE 102",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017114",
"telephone_number": "410-266-7120",
"fax_number": "410-266-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 LUBRANO DR",
"address_2": "SUITE 102",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017114",
"telephone_number": "410-266-7120",
"fax_number": "410-266-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDEL",
"first_name": "HENRY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IN",
"license": "01063072A",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MD",
"license": "D67391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.