Individual provider Active NPI

Sean Sider, DPM

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
National Provider Identifier
1215054994
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01274 Issued in MD
Practice address
7602 Belair Rd
Baltimore, MD 21236-4088
Phone
(410) 661-3338
Fax
(410) 663-6984
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01274 MD Primary

Addresses

Primary practice location

7602 Belair Rd
Baltimore, MD 21236-4088

Mailing address

6030 Marshalee Dr Ste 212
Elkridge, MD 21075-5987
Phone (410) 661-3338

Other identifiers 2

IdentifierTypeStateIssuer
480002770OtherMDMEDICARE RAILROAD
548128700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091006000626 MD Practitioner - Podiatry 4587700448 Reassigns benefits to 1 organization
I20240822004633 DC Practitioner - Podiatry 4587700448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Centers of Maryland, LLCGroup PAC ID 4082750872, 5 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Suite 812
Baltimore, MD 21202-2102
Phone (410) 332-0070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue173
Removal of skin lesions1-10
Removal of nail tissue1157
Removal or shaving of skin growth766
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Centers of Maryland, LLC Foot & Ankle Surgery CurrentSince Aug 10, 2009 Accepting new patients
Foot Centers of Maryland, LLC Foot & Ankle Surgery Past Accepting new patients
Foot Centers of Maryland, LLC Foot & Ankle Surgery PastSince Jul 21, 2024 Accepting new patients
Foot Centers of Maryland, LLC Foot & Ankle Surgery Past Accepting new patients
Jay S Lebow DPM PA Foot & Ankle Surgery Past Accepting new patients
Foot Centers of Maryland, LLC Foot & Ankle Surgery Past Accepting new patients
Foot Centers of Maryland, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

6030 Marshalee Dr
Ste 212
Elkridge, MD 21075

7927 Ritchie Hwy
Ste D
Glen Burnie, MD 21061
Phone (410) 661-3338

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: ssider32400@direct.mdmercy.com
  • Direct secure messaging: drseansider@fcom-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1215054994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 MARSHALEE DR STE 212",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755987",
            "telephone_number": "410-661-3338",
            "fax_number": "410-844-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-661-3338",
            "fax_number": "410-663-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDER",
        "first_name": "SEAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480002770",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548128700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.