Individual provider Active NPI

Sotiere Evan Savopoulos, M.D.

  • Family Medicine Physician
  • Oakland, MD
National Provider Identifier
1528094539
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D42464 Issued in MD
Practice address
255 N 4TH St
Suite 1
Oakland, MD 21550-1375
Phone
(301) 533-1046
Fax
(301) 533-1049
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X D42464 MD
Obstetrics Physician 207VX0000X D42464 MD
Family Medicine Physician 207Q00000X D42464 MD Primary

Addresses

Primary practice location

255 N 4TH St
Suite 1
Oakland, MD 21550-1375

Mailing address

255 North 4TH Street
Suite 1
Oakland, MD 21550
Phone (301) 533-1046

Other identifiers 1

IdentifierTypeStateIssuer
050921300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 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
I20040611000517 MD Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 6507750015 Reassigns benefits to 1 organization
I20230803003966 MD Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 6507750015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

255 N 4TH St
1 Cornerstone Family Medicine
Oakland, MD 21550-1340
Phone (301) 533-1046

Hospital & facility affiliations

  • Garrett County Health Department Home health agency, Oakland, MD, CCN 217809
  • Hospice of Garrett County Hospice, Oakland, MD, CCN 211535
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Garrett County Subacute Unit Nursing home, Oakland, MD, CCN 215310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savopoulos Professional, LLC Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Savopoulos Professional, LLC Family Medicine CurrentSince Dec 30, 2002 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Privia Care Center LLC Current Accepting new patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Care Center LLC CurrentSince Aug 1, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
GRMC, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

106 Cemetery Rd
Accident, MD 21520
Phone (301) 334-7855

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

255 N 4th St
Ste 1
Oakland, MD 21550
Phone (301) 533-1046

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sotiere.savopoulos.1@8042.direct.athenahealth.com

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 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1528094539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NORTH 4TH STREET",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "21550",
            "telephone_number": "301-533-1046",
            "fax_number": "301-533-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 4TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501375",
            "telephone_number": "301-533-1046",
            "fax_number": "301-533-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVOPOULOS",
        "first_name": "SOTIERE",
        "middle_name": "EVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D42464",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MD",
            "license": "D42464",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D42464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050921300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.