Sefanit Fassil, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0043194 Issued in MD

Practice address

200 Forbes St
Ste 200
Annapolis, MD 21401-1538

Phone

(410) 263-6363

Fax

(410) 263-4086

NPI assigned

Oct 18, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sefanit.fassil@annapeds.eclinicaldirectplus.com

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.

• Frederick Health Hospital Inc

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

  • Pediatrics Physician
  • Edgewater, MD
  • NPI 1265298657
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Pasadena, MD
  • NPI 1336905710
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Chester, MD
  • NPI 1639935026
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497836100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 ELDER OAKS BLVD",
            "address_2": "#7108",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163381",
            "telephone_number": "301-464-2156",
            "fax_number": "410-263-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORBES ST",
            "address_2": "STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011538",
            "telephone_number": "410-263-6363",
            "fax_number": "410-263-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSIL",
        "first_name": "SEFANIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0043194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "M34850",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0043194",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary F. Farley, M.D.
• Jolene Farmer, LCPC
• Khawaja A Farooq, MD
• Katherine Patricia Farrell, MD MPH
• Mary Pat Fasick, OTR
• Jessica Faulkner
• Stephen Edward Faust, MD
• Fearlessly Inspired Therapeutic Solutions, LLC
• Cristina Barbosa Feather, MD
• Ivan Fedoriv, MD

• Pediatrics Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.