Individual provider Active NPI

Glenn L Sandler, MD, FACS

  • Surgery Physician
  • Rockville, MD
National Provider Identifier
1619987559
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0047125 Issued in MD
Practice address
9707 Medical Center Dr
Suite 200
Rockville, MD 20850-3348
Phone
(301) 251-4128
Fax
(301) 738-1593
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0047125 MD Primary

Addresses

Primary practice location

9707 Medical Center Dr
Suite 200
Rockville, MD 20850-3348

Mailing address

9707 Medical Center Dr
Suite 200
Rockville, MD 20850-3348
Phone (301) 251-4128

Other identifiers 1

IdentifierTypeStateIssuer
369751700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110304000061 DC Practitioner - General Surgery 9436103140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

9715 Medical Ctr Dr
Suite 233
Rockville, MD 20850-6302
Phone (301) 251-4128

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)57
Hernia repair (minimally invasive)15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 28, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 28, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9715 Medical Center Dr
Ste 233
Rockville, MD 20850
Phone (240) 403-0621

9707 Medical Center Dr
Ste 320
Rockville, MD 20850
Phone (301) 251-4128

Interoperability endpoints

  • Direct secure messaging: glenn.sandler.1@8042.direct.athenahealth.com

Organizations & group practices 3

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 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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1619987559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-251-4128",
            "fax_number": "301-738-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-251-4128",
            "fax_number": "301-738-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "GLENN",
        "middle_name": "L",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0047125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369751700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.