Active NPI
Ima Sasu, NP
- Acute Care Nurse Practitioner
- Takoma Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2010003772
- Practice address
- 7600 Carroll Ave
Takoma Park, MD 20912-6367 - Phone
- (301) 891-7600
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2010003772 | MD | Primary |
Addresses
Primary practice location
7600 Carroll Ave
Takoma Park, MD 20912-6367
Mailing address
7600 Carroll Ave
Takoma Park, MD 20912-6367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030
7501 Surratts Rd
Clinton, MD 20735-3362
Phone (301) 877-7353
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010003772 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Medical Group LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Synergy Medical Group LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Radiology, LLC | Current | Accepting new patients | |
| Bethesda Emergency Associates LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3007 Tilden St NW
Ste 5N
Washington, DC 20008
110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031
600 Largo Rd
Uppr Marlboro, MD 20774
Phone (301) 350-5555
Interoperability endpoints
- isasu256475@direct.hopkinsmedicine.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1326450156
MD
-
- Nephrology Physician
- Timonium, MD
- NPI 1144902776
-
- Nephrology Physician
- Hagerstown, MD
- NPI 1881564979
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar Southern Maryland Hospital
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1164704110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 CARROLL AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CARROLL AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126367",
"telephone_number": "301-891-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASU",
"first_name": "IMA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "2010003772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.