Individual provider Active NPI

Sepideh Sadr Dadras, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Columbia, MD
National Provider Identifier
1174755490
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
D69441 Issued in MD
Practice address
6656 Dobbin Rd
Columbia, MD 21045-5841
Phone
(410) 381-1330
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D69441 MD
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X D69441 MD Primary

Addresses

Primary practice location

6656 Dobbin Rd
Columbia, MD 21045-5841

Mailing address

6656 Dobbin Rd
Columbia, MD 21045-5841

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
I20110906000631 MD Practitioner - Family Practice 1850561564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D69441MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. CurrentSince Aug 1, 2011 Accepting new patients

Locations

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

8813 Waltham Woods Rd
Ste 204
Parkville, MD 21234
Phone (410) 661-4670

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations & group practices 1

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1174755490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6656 DOBBIN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6656 DOBBIN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455841",
            "telephone_number": "410-381-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADRAS",
        "first_name": "SEPIDEH",
        "middle_name": "SADR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D69441",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D69441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.