Sailaja Nootheti, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

D0058338 Issued in MD

Practice address

1125 Diamond Dr
Hagerstown, MD 21740-5857

Phone

(301) 790-1482

Fax

(301) 790-1377

NPI assigned

Sep 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asthma and Allergy Center LLC 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Asthma & Allergy Center LLC

  • Allergy & Immunology Physician
  • Rockville, MD
  • NPI 1912089335

  Allergy & Immunology, DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1356536700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 DIAMOND DR STE B",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405857",
            "telephone_number": "301-790-1482",
            "fax_number": "301-790-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 DIAMOND DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405857",
            "telephone_number": "301-790-1482",
            "fax_number": "301-790-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOTHETI",
        "first_name": "SAILAJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0058338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Nnoli, NP
• Mary Beth Noble, LCPC
• Jessica Lyn Noel, BA
• Arish Noor
• Madina Nooristani
• Chad Norris, PTA
• Sarah Norris
• North American Partners in Anesthesia Maryland LLC
• North American Partners in Anesthesia Maryland LLC
• Dean Notabartolo, M.D.

• All providers in Hagerstown, MD
• Allergy & Immunology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.

Verify at the official NPI Registry.