Individual provider Active NPI

Ivan A Sabio, MD

  • Internal Medicine Physician
  • Waldorf, MD
National Provider Identifier
1629047709
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101262663 Issued in VA
Practice address
11350 Pembrooke SQ Ste 311
Waldorf, MD 20603-4809
Phone
(301) 870-0660
Fax
(301) 932-8310
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225612 NY
Internal Medicine Physician 207R00000X 25MA07687800 NJ
Internal Medicine Physician 207R00000X 0101262663 VA Primary

Addresses

Primary practice location

11350 Pembrooke SQ Ste 311
Waldorf, MD 20603-4809

Mailing address

11350 Pembrooke SQ Ste 311
Waldorf, MD 20603-4809
Phone (301) 870-0660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isabio581228@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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
I20180611000614 DC Practitioner - Internal Medicine 8628029493 Reassigns benefits to 1 organization
I20180807002833 VA Practitioner - Internal Medicine 8628029493 Reassigns benefits to 1 organization
I20221220001463 MD Practitioner - Internal Medicine 8628029493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Multispecialty AssociatesGroup PAC ID 4082018767, 2 clinicians

Practice addresses (Care Compare)

11350 Pembrooke SQ
Suite 311
Waldorf, MD 20603-4809
Phone (301) 870-0660

Hospital & facility affiliations

  • Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07687800NJMDInternal Medicine Physician
225612NYMDInternal Medicine Physician
0101262663VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Multispecialty Associates Internal Medicine CurrentSince Nov 23, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Inova Physician Partners, LLC CurrentSince May 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Buffalo Rheumatology and Medicine PLLC Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Buffalo Rheumatology and Medicine PLLC Past Accepting new patients

Locations

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

11350 Pembrooke Sq
Ste 311
Waldorf, MD 20603
Phone (301) 645-7011

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

1416 Hooper Ave
Ste 1
Toms River, NJ 08753
Phone (732) 736-0300

1416 Hooper Ave
Toms River, NJ 08753
Phone (732) 349-2992

325 S Washington St
Alexandria, VA 22314
Phone (703) 683-7220

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: isabio581228@soc.inova.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 7

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 6

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1629047709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 311",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "301-870-0660",
            "fax_number": "301-932-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 PEMBROOKE SQ STE 311",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034809",
            "telephone_number": "301-870-0660",
            "fax_number": "301-932-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIO",
        "first_name": "IVAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225612",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07687800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101262663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isabio581228@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "325 S Washington St",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223143627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.