Individual provider Active NPI

Sarah Anne Johnson, MD

  • Internal Medicine Physician
  • Leonardtown, MD
National Provider Identifier
1255539037
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D71807 Issued in MD
Practice address
41680 Miss Bessie Dr
Suite 301
Leonardtown, MD 20650-2906
Phone
(301) 997-0055
Fax
(301) 997-0066
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116019252 VA
Internal Medicine Physician 207R00000X D71807 MD Primary
Pediatrics Physician 208000000X D71807 MD

Addresses

Primary practice location

41680 Miss Bessie Dr
Suite 301
Leonardtown, MD 20650-2906

Mailing address

41680 Miss Bessie Dr
Suite 301
Leonardtown, MD 20650-2906
Phone (301) 997-0055

Other names 1

  • Sarah Anne Russell Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111109000462 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1951574896 Reassigns benefits to 1 organization
I20260507004342 DC Practitioner - Internal Medicine 1951574896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Virginia Commonwealth University, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

23507 Hollywood Rd
Leonardtown, MD 20650-5833
Phone (240) 434-4070

23511 Hollywood Rd
Suite 2
Leonardtown, MD 20650-5833
Phone (301) 997-0611

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

41680 Miss Bessie Dr
Leonardtown, MD 20650-2906
Phone (301) 997-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D71807MDMDInternal Medicine Physician
0116019252VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC Internal Medicine CurrentSince May 6, 2014 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 6, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

41680 Miss Bessie Dr
Ste 301
Leonardtown, MD 20650
Phone (301) 997-0055

40900 Merchants Ln
Leonardtown, MD 20650
Phone (301) 997-0322

41680 Miss Bessie Dr
Leonardtown, MD 20650
Phone (301) 997-0055

40900 Merchants Ln
Unit 207
Leonardtown, MD 20650
Phone (301) 997-1580

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.

Hospital & facility affiliations 2

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1255539037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR",
            "address_2": "SUITE 301",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502906",
            "telephone_number": "301-997-0055",
            "fax_number": "301-997-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR",
            "address_2": "SUITE 301",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502906",
            "telephone_number": "301-997-0055",
            "fax_number": "301-997-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019252",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D71807",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D71807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RUSSELL",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.