Individual provider Active NPI

Pradip Sahdev, MD FACS FICS

  • Surgery Physician
  • Waldorf, MD
National Provider Identifier
1508932666
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0047202 Issued in MD
Practice address
3450 Old Washington Road Ste 202
Waldorf, MD 20602
Phone
(301) 645-3590
Fax
(301) 705-1941
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0047202 MD Primary
Surgical Critical Care Physician 2086S0102X D0047202 MD
Vascular Surgery Physician 2086S0129X D0047202 MD

Addresses

Primary practice location

3450 Old Washington Road Ste 202
Waldorf, MD 20602

Mailing address

3450 Old Washington Road Ste 202
Waldorf, MD 20602
Phone (301) 645-3590

Other identifiers 1

IdentifierTypeStateIssuer
725501200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040316000687 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 6002706900 Reassigns benefits to 1 organization
I20110316000339 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 6002706900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Surgical Associates PAGroup PAC ID 1658262472, 98 clinicians

Practice addresses (Care Compare)

11340 Pembrooke SQ
Suite 202
Waldorf, MD 20603-4808
Phone (240) 607-2010

3001 Hospital Dr
Cheverly, MD 20785-1189
Phone (410) 328-5842

3450 Old Washington Rd
Suite 202
Waldorf, MD 20602-3250
Phone (240) 607-2010

419 W Redwood St
FL 3
Baltimore, MD 21201-1734
Phone (410) 328-5300

Hospital & facility affiliations

  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047202MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Surgical Associates, PA CurrentSince Nov 1, 2020 Accepting new patients
University of Maryland Surgcial Assoc PA Past Accepting new patients
Advanced Surgicare of Maryland P.a PastSince Apr 18, 2003 Accepting new patients

Locations

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

7651 Matapeake Business Dr
Ste 101
Brandywine, MD 20613
Phone (301) 782-9111

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

3450 Old Washington Rd
Ste 202
Waldorf, MD 20602
Phone (240) 607-2010

Interoperability endpoints

  • Direct secure messaging: psahdev548102@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.

Hospital & facility affiliations 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1508932666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OLD WASHINGTON ROAD STE 202",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "301-645-3590",
            "fax_number": "301-705-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 OLD WASHINGTON ROAD STE 202",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "301-645-3590",
            "fax_number": "301-705-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHDEV",
        "first_name": "PRADIP",
        "name_prefix": "Dr.",
        "credential": "MD FACS FICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0047202",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MD",
            "license": "D0047202",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0047202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "725501200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.