Active NPI
Sepideh Sadr Dadras, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Columbia, MD
National Provider Identifier
1174755490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- D69441
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D69441 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Medical First P.a. | Current | 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
- 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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1013005016
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.