Individual provider Active NPI

Sadaquat Jawad Liaqat, MD

  • Internal Medicine Physician
  • Johnstown, PA
National Provider Identifier
1295236347
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT213203 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 534-9104
Fax
(814) 534-3559
NPI assigned
Feb 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT213203 PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9104

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
I20201014002009 MD Practitioner - Internal Medicine 9436486909 Reassigns benefits to 1 organization
I20210916000403 DC Practitioner - Internal Medicine 9436486909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symphony Medical Associates, PAGroup PAC ID 4486643905, 7 clinicians

Practice addresses (Care Compare)

821 N Eutaw St
Suite 308
Baltimore, MD 21201-6303
Phone (410) 383-2072

9106 Pine View LN
Clinton, MD 20735-3229
Phone (410) 383-2072

Hospital & facility affiliations

  • Stella Maris, Inc. Home health agency, Timonium, MD, CCN 217072
  • Stella Maris Inc Hospice, Timonium, MD, CCN 211500
  • Stella Maris, Inc. Nursing home, Timonium, MD, CCN 215117
  • Westgate Hills Rehab & Healthcare Ctr Nursing home, Baltimore, MD, CCN 215299
  • Orchard Hill Rehabilitation and Healthcare Center Nursing home, Towson, MD, CCN 215069
  • Oakwood SNF LLC Nursing home, Middle River, MD, CCN 215181

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical Associates, PA CurrentSince Oct 1, 2020 Accepting new patients
Oakwood SNF LLC Past Accepting new patients
Westgate Hills Operator LLC Past Accepting new patients
Stella Maris Inc Past Accepting new patients
Orchard Hill Operator LLC Past Accepting new patients

Locations

821 N Eutaw St
Ste 308
Baltimore, MD 21201
Phone (410) 383-2072

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

Organizations & group practices 5

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 6

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1295236347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9104",
            "fax_number": "814-534-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9104",
            "fax_number": "814-534-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAQAT",
        "first_name": "SADAQUAT",
        "middle_name": "JAWAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT213203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.