Susmita Nursingha Sarangi, M.D.
Individual provider Active NPI Pediatric Hematology & Oncology Physician · Washington, DC
NPI 1346470945 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1346470945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Hematology & Oncology Physician 2080P0207X
- License
- MD046789 (DC)
- Practice address
- 3800 Reservoir Rd NW
Washington, DC 20007-2113 - Phone
- (202) 444-2224
- Fax
- (202) 444-8817
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160920002690 | VA | Practitioner - Pediatric Medicine | 1658668546 | Reassigns benefits to 1 organization |
| I20190129001656 | DC | Practitioner - Pediatric Medicine | 1658668546 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101256041 | VA | MD | Pediatrics Physician |
| MD046789 | DC | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Pediatrics | Current |
Accepting new patients |
| MGMC, LLC | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
8644 Sudley Rd
#220
Manassas, VA 20110
9430 Forestwood Ln
Ste 100
Manassas, VA 20110
Phone (571) 284-1430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 101256041 | VA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD046789 | DC | Yes |
Addresses
Primary practice location
3800 Reservoir Rd NW
Washington, DC 20007-2113
Mailing address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2224
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.