Individual provider Active NPI

Sarat Mohammadu, D.D.S

  • Pediatric Dentistry
  • Silver Spring, MD
National Provider Identifier
1558749457
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
34578 Issued in TX
Practice address
1220 E West Hwy Apt 418
Silver Spring, MD 20910-3270
Phone
(678) 266-7377
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 34578 TX Primary

Addresses

Primary practice location

1220 E West Hwy Apt 418
Silver Spring, MD 20910-3270

Mailing address

1220 E West Hwy Apt 418
Silver Spring, MD 20910-3270
Phone (678) 266-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902001109 OH Order and Referring Only - DentistPractitioner - Dentist 7416353222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10565TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1558749457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E WEST HWY APT 418",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103270",
            "telephone_number": "678-266-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E WEST HWY APT 418",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103270",
            "telephone_number": "678-266-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADU",
        "first_name": "SARAT",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "34578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.