Individual provider Active NPI

Sanjiv K Saini, MD

  • Specialist
  • Lexington Park, MD
National Provider Identifier
1598805293
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0031545 Issued in MD
Practice address
22335 Exploration Dr
Suite 2005
Lexington Park, MD 20653-2014
Phone
(301) 863-7310
Fax
(301) 863-7642
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0031545 MD Primary

Addresses

Primary practice location

22335 Exploration Dr
Suite 2005
Lexington Park, MD 20653-2014

Mailing address

3168 Braverton St
Suite 340
Edgewater, MD 21037
Phone (410) 956-7777

Other identifiers 1

IdentifierTypeStateIssuer
995802900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000145 MD Practitioner - Dermatology 7113917923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanjiv K Saini MD LLCGroup PAC ID 4082651641, 4 clinicians

Practice addresses (Care Compare)

3168 Braverton St
Suite 340
Edgewater, MD 21037-2664

3168 Braverton St
Suite 340
Edgewater, MD 21037-2680
Phone 4109567777124

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as group
Quality
96.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions2965
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0031545MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjiv K. Saini M.D.,LLC Specialist CurrentSince Sep 1, 1995 Accepting new patients
South River Ambulatory Surgery PastSince Jun 28, 2003 Accepting new patients

Locations

3168 Braverton St
Ste 340
Edgewater, MD 21037
Phone (301) 863-7310

22335 Exploration Dr
#S2005
Lexington Park, MD 20653
Phone (301) 863-7310

22335 Exploration Dr
Ste 2005
Lexington Pk, MD 20653
Phone (301) 863-7310

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1598805293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3168 BRAVERTON ST",
            "address_2": "SUITE 340",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "21037",
            "telephone_number": "410-956-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22335 EXPLORATION DR",
            "address_2": "SUITE 2005",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206532014",
            "telephone_number": "301-863-7310",
            "fax_number": "301-863-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINI",
        "first_name": "SANJIV",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0031545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "995802900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

Verify at the official NPI Registry.