Individual provider Active NPI

Henry Daniel Sandel IV, M.D.

  • Facial Plastic Surgery Physician
  • Annapolis, MD
National Provider Identifier
1164624763
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
D67391 Issued in MD
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

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000176 MD Practitioner - Otolaryngology 5092873257 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063072AINMDFacial Plastic Surgery Physician
D67391MDMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandel Center for Facial Plastic Surgery LLC Facial Plastic Surgery CurrentSince Aug 1, 2008 Accepting new patients
West Annapolis Surgery Center, LLC PastSince Nov 24, 2014 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.

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

Verify at the official NPI Registry.