Active NPI
Sayali Yewale, MD
- Pediatrics Physician
- Charlotte Hall, MD
National Provider Identifier
1447600465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D86889
- Practice address
- 37767 Market Dr Unit 200
Charlotte Hall, MD 20622-3199 - Phone
- (301) 884-7330
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D86889 | MD | Primary |
Addresses
Primary practice location
37767 Market Dr Unit 200
Charlotte Hall, MD 20622-3199
Mailing address
37767 Market Dr Unit 200
Charlotte Hall, MD 20622-3199
Phone (301) 884-7330
Other practice location 1
300 2nd Ave
Long Branch, NJ 07740-6303
Phone (732) 923-7250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D86889 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falls Church Pediatrics | Current | Accepting new patients | |
| Baby Doc Inc | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Shah Dermatology LLC | Past | Accepting new patients | |
| Whole Child Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
7263F Arlington Blvd
Falls Church, VA 22042
Phone (703) 775-0777
Interoperability endpoints
- sayali.yewalemd.p2@direct.msmg.nextgenshare.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Urgent Care Clinic/Center
- Manassas, VA
- NPI 1174004774
-
- Dermatology Physician
- Charlotte Hall, MD
- NPI 1760873194
-
- Pediatrics Physician
- Ashburn, VA
- NPI 1093952277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1447600465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37767 MARKET DR UNIT 200",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206223199",
"telephone_number": "301-884-7330",
"fax_number": "301-884-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37767 MARKET DR UNIT 200",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206223199",
"telephone_number": "301-884-7330"
}
],
"practiceLocations": [
{
"address_1": "300 2nd Ave",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077406303",
"country_code": "US",
"telephone_number": "732-923-7250",
"fax_number": "732-923-7255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEWALE",
"first_name": "SAYALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D86889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.