Individual provider Active NPI

Marcos Sastre III, M.S., CF-SLP

  • Speech-Language Pathologist
  • Rockville, MD
National Provider Identifier
1164928487
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
15245 Shady Grove Rd Ste 110
Rockville, MD 20850-7202
Phone
(301) 208-3210
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

15245 Shady Grove Rd Ste 110
Rockville, MD 20850-7202

Mailing address

15245 Shady Grove Rd Ste 110
Rockville, MD 20850-7202
Phone (301) 208-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201102000220 DC Practitioner - Qualified Speech Language Pathologist 3678983863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

5454 Wisconsin Ave
Suite 1535
Chevy Chase, MD 20815-6922
Phone (301) 652-8847

6410 Rockledge Dr
Suite 305
Bethesda, MD 20817-1841
Phone (301) 652-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC CurrentSince Apr 17, 2023 Accepting new patients
Cumberland Valley ENT Consultants Past Accepting new patients

Locations

1120 19th St NW
Ste 316
Washington, DC 20036
Phone (202) 466-3570

6701 Democracy Blvd
Ste 300
Bethesda, MD 20817
Phone (443) 351-4650

6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409

5454 Wisconsin Ave
Ste 1535
Chevy Chase, MD 20815
Phone (301) 652-8847

12850 Middlebrook Rd
Ste 410
Germantown, MD 20874
Phone (301) 652-8847

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1164928487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507202",
            "telephone_number": "301-208-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507202",
            "telephone_number": "301-208-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRE",
        "first_name": "MARCOS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.