Individual provider Active NPI

Sara Taherkhani, MD

  • Infectious Disease Physician
  • Ellicott City, MD
National Provider Identifier
1386954436
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0078060 Issued in MD
Practice address
2850 N Ridge Rd
Ellicott City, MD 21043-3464
Phone
(410) 418-8550
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD446688 PA
Infectious Disease Physician 207RI0200X D0078060 MD Primary

Addresses

Primary practice location

2850 N Ridge Rd
Ellicott City, MD 21043-3464

Mailing address

2850 N Ridge Rd
Ellicott City, MD 21043-3464
Phone (410) 418-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IL, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140918001305 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 7618108259 Reassigns benefits to 2 organizations
I20190730003833 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 7618108259 Reassigns benefits to 2 organizations
I20200323003191 DC Practitioner - Internal MedicinePractitioner - Infectious Disease 7618108259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Illini Dr
Peoria, IL 61605-2576
Phone (309) 671-3173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446688PAMDInternal Medicine Physician
D0078060MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC CurrentSince Jan 1, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Mar 2, 2020 Accepting new patients
Johns Hopkins Regional Physicians LLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 26, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Mar 2, 2020 Accepting new patients
Johns Hopkins Regional Physicians LLC Current Accepting new patients
Rockford Health Physicians CurrentSince Jun 19, 2019 Accepting new patients
Board of Trustees of the University of Illinois Internal Medicine CurrentSince Aug 26, 2019 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Mar 2, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

2850 North Ridge Rd
Ste 102
Ellicott City, MD 21043
Phone (410) 418-8550

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: astoecker13127@direct.uwhealth.org

Organizations & group practices 10

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 1

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1386954436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433464",
            "telephone_number": "410-418-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433464",
            "telephone_number": "410-418-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHERKHANI",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446688",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0078060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.