Individual provider Active NPI

Amanda L Sollars, MD

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1619210960
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D82141 Issued in MD
Practice address
9710 Patuxent Woods Dr
Suite 200
Columbia, MD 21046-1526
Phone
(301) 575-8080
NPI assigned
Apr 4, 2013
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D82141 MD Primary

Addresses

Primary practice location

9710 Patuxent Woods Dr
Suite 200
Columbia, MD 21046-1526

Mailing address

29 S Paca St
Baltimore, MD 21201-1771
Phone (410) 328-5012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170405000019 MD Practitioner - General PracticePractitioner - Family Practice 9931407392 Reassigns benefits to 1 organization
I20180713002614 DC Practitioner - Family Practice 9931407392
I20190615000152 NM Practitioner - Family Practice 9931407392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Srirengam Muralidhasan MD LLCGroup PAC ID 8123079274, 7 clinicians

Practice addresses (Care Compare)

1605 El Paseo Rd
Las Cruces Urgent Care
Las Cruces, NM 88001-6010
Phone (575) 523-5400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Srirengam Muralidhasan MD LLC Family Medicine CurrentSince May 15, 2019 Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients

Locations

1605 El Paseo Rd
Las Cruces, NM 88001
Phone (505) 527-2600

1605 El Paseo Rd
Ste A
Las Cruces, NM 88001
Phone (575) 541-1500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1619210960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "410-328-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461526",
            "telephone_number": "301-575-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLARS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D82141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.