Individual provider Active NPI

Fady Sinno, M.D.

  • Plastic Surgery Physician
  • Ellicott City, MD
National Provider Identifier
1215006994
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D35889 Issued in MD
Practice address
5300 Dorsey Hall Dr
Ste 102
Ellicott City, MD 21042-7819
Phone
(410) 884-4200
Fax
(410) 715-8534
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D35889 MD Primary

Addresses

Primary practice location

5300 Dorsey Hall Dr
Ste 102
Ellicott City, MD 21042-7819

Mailing address

5300 Dorsey Hall Dr
Ste 102
Ellicott City, MD 21042-7819
Phone (410) 884-4200

Other identifiers 3

IdentifierTypeStateIssuer
54258802OtherMDCAREFIRST BLUE CROSS BLUE
341680OtherMDMAMSI
502900700MedicaidMD

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
I20120221000366 MD Practitioner - Plastic and Reconstructive Surgery 5193983286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5300 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7819

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal or shaving of skin growth12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fady a. Sinno,M.D. Plastic and Reconstructive Surgery, LLC Plastic Surgery CurrentSince Sep 29, 2016 Accepting new patients
Baltimore Columbia Surgery Center, LLC CurrentSince Jan 27, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5300 Dorsey Hall Dr
Ste 102
Ellicott City, MD 21042
Phone (410) 884-4200

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1215006994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427819",
            "telephone_number": "410-884-4200",
            "fax_number": "410-715-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427819",
            "telephone_number": "410-884-4200",
            "fax_number": "410-715-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINNO",
        "first_name": "FADY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D35889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE",
            "identifier": "54258802",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "341680",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502900700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.