Active NPI
Sawali Sudarshan, MD PHD
- Emergency Medicine Physician
- Takoma Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D79720
- Practice address
- 7600 Carroll Ave
Department of Emergency Medicine
Takoma Park, MD 20912-6367 - Phone
- (301) 891-7600
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D79720 | MD | Primary |
| Emergency Medicine Physician | 207P00000X | 0101258116 | VA |
Addresses
Primary practice location
7600 Carroll Ave
Department of Emergency Medicine
Takoma Park, MD 20912-6367
Mailing address
7600 Carroll Ave
Department of Emergency Medicine
Takoma Park, MD 20912-6367
Phone (301) 891-7600
Other practice location 1
4101 Northview Dr
Bowie, MD 20716-2616
Phone (301) 383-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.52 of 100
- Quality
- 91.6
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D79720 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Franklin, VA
- NPI 1740529700
DC
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1720839764
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1285990572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 CARROLL AVE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126367",
"telephone_number": "301-891-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CARROLL AVE",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126367",
"telephone_number": "301-891-7600"
}
],
"practiceLocations": [
{
"address_1": "4101 Northview Dr",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207162616",
"country_code": "US",
"telephone_number": "301-383-2559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUDARSHAN",
"first_name": "SAWALI",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D79720",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101258116",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.