Individual provider Active NPI

Sanil Ravindra Nath, MD

  • Nephrology Physician
  • Greenbelt, MD
National Provider Identifier
1548224934
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0053107 Issued in MD
Practice address
7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770-3621
Phone
(301) 345-0605
Fax
(301) 345-0606
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0053107 MD Primary

Addresses

Primary practice location

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770-3621

Mailing address

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Other practice location 1

1127 West St Ste 105
Annapolis, MD 21401-4284
Phone (301) 345-0605

Other identifiers 4

IdentifierTypeStateIssuer
774002600MedicaidMD
LX76CEOtherBSMD
61141202OtherBSMD
F4550003OtherBSDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, 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
I20040816001123 DC Practitioner - Nephrology 6608862644 Reassigns benefits to 1 organization
I20040818000162 MD Practitioner - Nephrology 6608862644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Howard University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maryland Nephrology, LLCGroup PAC ID 1254304413, 6 clinicians

Practice addresses (Care Compare)

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Hospital & facility affiliations

  • DaVita Renal Care of Seat Pleasant Dialysis facility, Seat Pleasant, MD, CCN 212640
  • DaVita Kidney Care of Laurel Dialysis facility, Laurel, MD, CCN 212538
  • DaVita District Heights Dialysis Dialysis facility, District Heights, MD, CCN 212657
  • Rehabilitation Hospital of Bowie Inpatient rehabilitation facility, Bowie, MD, CCN 213030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053107MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maryland Nephrology, LLC CurrentSince Sep 1, 2004 Accepting new patients
Lanham Dialysis Access Center LLC CurrentSince Jan 2, 2009 Accepting new patients
Annapolis Infectious Disease Associates LLP PastSince Jul 1, 1999 Accepting new patients
Centurion Vascular Care LLC PastSince Feb 1, 2020 Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

1127 West St
Ste 105
Annapolis, MD 21401
Phone (301) 345-0605

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-0605

7331 Hanover Pkwy
Greenbelt, MD 20770

4230 Forbes Blvd
Ste E
Lanham, MD 20706
Phone (301) 577-5535

Interoperability endpoints

  • Direct secure messaging: sanil.nath@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1548224934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 West St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214014284",
            "country_code": "US",
            "telephone_number": "301-345-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATH",
        "first_name": "SANIL",
        "middle_name": "RAVINDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0053107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774002600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "LX76CE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "61141202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "F4550003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.