Active NPI
Sanjiv Sood, M.D. PC
- Gastroenterology Physician
- Bowie, MD
National Provider Identifier
1194964957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D37697
- Legal business name
- SANJIV SOOD, M.D. PC
- Practice address
- 3060 Mitchellville Rd
Suite 102
Bowie, MD 20716-1389 - Phone
- (301) 249-8440
- Fax
- (301) 249-4033
- NPI assigned
- Feb 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjiv Sood, M.D.
- Title
- Owner
- Phone
- (301) 249-8440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D37697 | MD | Primary |
Addresses
Primary practice location
3060 Mitchellville Rd
Suite 102
Bowie, MD 20716-1389
Mailing address
3060 Mitchellville Rd
Suite 102
Bowie, MD 20716-1389
Phone (301) 249-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529321900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3060 Mitchellville Rd
Ste 102
Bowie, MD 20716
Phone (301) 249-8440
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Catonsville, MD
- NPI 1780648550
DC
-
- Anatomic Pathology & Clinical Pathology Physician
- Alexandria, VA
- NPI 1568560134
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234915200000",
"number": "1194964957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 MITCHELLVILLE RD",
"address_2": "SUITE 102",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161389",
"telephone_number": "301-249-8440",
"fax_number": "301-249-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 MITCHELLVILLE RD",
"address_2": "SUITE 102",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161389",
"telephone_number": "301-249-8440",
"fax_number": "301-249-4033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANJIV SOOD, M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A",
"authorized_official_last_name": "SOOD",
"authorized_official_first_name": "SANJIV",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-249-8440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D37697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529321900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.