Active NPI
Sarah Wilcox Deparis, MD
- Ophthalmology Physician
- Baltimore, MD
National Provider Identifier
1184982340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D80873
- Practice address
- 600 N Wolfe St RM 505
Baltimore, MD 21287-0005 - Phone
- (410) 955-1112
- NPI assigned
- Apr 25, 2012
- Last updated
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT201231 | PA | |
| Ophthalmology Physician | 207W00000X | D80873 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St RM 505
Baltimore, MD 21287-0005
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Other practice location 1
1650 Los Gamos Dr
San Rafael, CA 94903-1850
Phone (610) 988-5455
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT201231 | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1184982340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6423",
"fax_number": "410-933-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST RM 505",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-1112"
}
],
"practiceLocations": [
{
"address_1": "1650 Los Gamos Dr",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949031850",
"country_code": "US",
"telephone_number": "610-988-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEPARIS",
"first_name": "SARAH",
"middle_name": "WILCOX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT201231",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D80873",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1650 Los Gamos Dr",
"city": "San Rafael",
"state": "CA",
"country_code": "US",
"postal_code": "949031850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
- Jeanne C Dentry, C.R.N.P.
- Brendan Denvir
- Dilraj Deol
- Sarah Rose Depalma, PA-C
- Melanie Depamphilis
- Department of Health and Mental Hygiene (Western Maryland)
- Department of Health and Mental Hygiene (Deers Head)
- Department of Health and Mental Hygiene
- Nirali A Depasquale, FNP
- Joseph Raymond Depaulo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.