Individual provider Active NPI

Nabiatu Sandi, PA

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1235242488
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C02453 Issued in MD
Practice address
829 Linden Avenue
Baltimore, MD 20017
Phone
(202) 269-7000
NPI assigned
Aug 15, 2006
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA30198 DC
Physician Assistant 363A00000X C02453 MD Primary

Addresses

Primary practice location

829 Linden Avenue
Baltimore, MD 20017

Mailing address

9301 Myrtle Ave
Bowie, MD 20720-3227
Phone (301) 464-6364

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050827000045 MD Practitioner - Physician Assistant 5496729089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

827 Linden Ave
Baltimore, MD 21201-4606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA30198DCMDPhysician Assistant
C02453MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 19, 2018 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Aug 17, 2021 Accepting new patients
National Emergency Services District of Columbia Inc Past Accepting new patients
Providence Health Services Inc Past Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Interoperability endpoints

  • Direct secure messaging: nsandi228447@direct.umm.edu

Organizations & group practices 6

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1235242488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 MYRTLE AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203227",
            "telephone_number": "301-464-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 LINDEN AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "20017",
            "telephone_number": "202-269-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDI",
        "first_name": "NABIATU",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA30198",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.