Organization Active NPI

Sapphire Dermatology LLC

  • Dermatology Physician
  • Silver Spring, MD
National Provider Identifier
1245959402
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SAPPHIRE DERMATOLOGY LLC
Practice address
10801 Lockwood Dr Ste 280
Silver Spring, MD 20901-1556
Phone
(301) 814-0880
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Dr. Kunal Angra, MDNPI 1871988147
Title
Medical Doctor
Phone
(301) 814-0880

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

10801 Lockwood Dr Ste 280
Silver Spring, MD 20901-1556

Mailing address

1860 Town Center Dr Ste 350
Reston, VA 20190-5912

Other practice location 1

1860 Town Center Dr Ste 350
Reston, VA 20190-5912
Phone (301) 244-9069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221117001464 DC Part B Supplier - Clinic/Group Practice 0244608552 Receives reassigned benefits from 2 practitioners
Practice locations: Reston, VA; Silver Spring, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2272270Sapphire Dermatology LLC10801 Lockwood Dr #285, Silver Spring, MD 20901Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

10801 Lockwood Dr
Ste 280
Silver Spring, MD 20901
Phone (301) 593-3400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1245959402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 350",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 280",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-814-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Town Center Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905912",
            "country_code": "US",
            "telephone_number": "301-244-9069",
            "fax_number": "301-238-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAPPHIRE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "ANGRA",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "301-814-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.