Individual provider Active NPI

Sanford Jay Siegel, M.D.

  • Urology Physician
  • Owings Mills, MD
National Provider Identifier
1376506477
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D32029 Issued in MD
Practice address
21 Crossroads Dr
Suite 200
Owings Mills, MD 21117-5441
Phone
(410) 581-1600
Fax
(410) 581-1603
NPI assigned
Apr 10, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D32029 MD Primary

Addresses

Primary practice location

21 Crossroads Dr
Suite 200
Owings Mills, MD 21117-5441

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (410) 581-1600

Other identifiers 1

IdentifierTypeStateIssuer
382821200MedicaidMD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110224000222 MD Practitioner - Urology 6901895523 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D32029MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates LLC Urology CurrentSince Apr 12, 1999 Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Urology ASC- Phoenix, LLC PastSince Dec 13, 2018 Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Summit Brachytherapy LLC PastSince Jun 29, 2022 Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Arizona Urology Specialists, PLLC Urology PastSince Dec 31, 2020 Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Chesapeake Urology Associates, PA Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Chesapeake Urology Associates P.a. Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates P.a. Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients

Locations

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

21 Crossroads Dr
Ste 200
Owings Mills, MD 21117
Phone (410) 581-8140

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

Organizations & group practices 64

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1376506477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "410-581-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "SUITE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175441",
            "telephone_number": "410-581-1600",
            "fax_number": "410-581-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "SANFORD",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D32029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382821200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.