Organization Active NPI

Sipa LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Sandy Spring, MD
National Provider Identifier
1275326449
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
SIPA LLC
Practice address
1416 Meadowsweet Dr
Sandy Spring, MD 20860-1042
Phone
(202) 378-0033
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Usha Maddineni
Title
Manager
Phone
(202) 361-9979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

1416 Meadowsweet Dr
Sandy Spring, MD 20860-1042

Mailing address

1416 Meadowsweet Dr
Sandy Spring, MD 20860-1042
Phone (202) 378-0033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028004665 DC Part B Supplier - Clinic/Group Practice 8224536685 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy Spring, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1275326449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MEADOWSWEET DR",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601042",
            "telephone_number": "202-378-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 MEADOWSWEET DR",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601042",
            "telephone_number": "202-378-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "MADDINENI",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-361-9979"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.