Individual provider Active NPI

Sarah Marium Kattakuzhy, M.D.

  • Infectious Disease Physician
  • Washington, DC
National Provider Identifier
1457587701
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D76456 Issued in MD
Practice address
1900 Massachusetts Ave SE
Washington, DC 20003-2542
Phone
(202) 548-6541
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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 MD040573 DC
Infectious Disease Physician 207RI0200X D76456 MD Primary

Addresses

Primary practice location

1900 Massachusetts Ave SE
Washington, DC 20003-2542

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8040

Other practice location 1

300 Armory Pl Fl 1
Baltimore, MD 21201-4603
Phone (410) 225-8369

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
I20180919003061 MD Practitioner - Infectious Disease 5991953556 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040573DCMDInternal Medicine Physician
D76456MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. CurrentSince Sep 1, 2018 Accepting new patients
University of Maryland Physicians PA Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients

Locations

300 Armory Pl
Fl 1
Baltimore, MD 21201
Phone (410) 225-8369

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Interoperability endpoints

  • Direct secure messaging: skattakuzhy230027@direct.umm.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1457587701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-8040",
            "fax_number": "443-462-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MASSACHUSETTS AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032542",
            "telephone_number": "202-548-6541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Armory Pl Fl 1",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212014603",
            "country_code": "US",
            "telephone_number": "410-225-8369",
            "fax_number": "443-552-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTAKUZHY",
        "first_name": "SARAH",
        "middle_name": "MARIUM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD040573",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D76456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.