Individual provider Active NPI

Sandhya Devaraj, MD

  • Family Medicine Physician
  • Brunswick, MD
National Provider Identifier
1659937506
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0103181 Issued in MD
Practice address
610 9TH Ave
Brunswick, MD 21716-1828
Phone
(301) 834-7188
NPI assigned
May 16, 2019
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 D0103181 MD Primary

Addresses

Primary practice location

610 9TH Ave
Brunswick, MD 21716-1828

Mailing address

610 9TH Ave
Brunswick, MD 21716-1828
Phone (301) 834-7188

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
I20260121001878 MD Practitioner - Family Practice 5193059780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Frederick, MD 21702-4503

610 9TH Ave
Brunswick, MD 21716-1828
Phone (301) 682-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0103181MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Care Center LLC CurrentSince Dec 11, 2025 Accepting new patients
Privia Care Center LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

610 9th Ave
Brunswick, MD 21716
Phone (301) 834-7188

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

4014 Mountville Rd
Jefferson, MD 21755
Phone (240) 986-1001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sandhya.devaraj.1@8042.direct.athenahealth.com

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, 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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1659937506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 9TH AVE",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217161828",
            "telephone_number": "301-834-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 9TH AVE",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217161828",
            "telephone_number": "301-834-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAJ",
        "first_name": "SANDHYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0103181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, MD

Sources for this page

Verify at the official NPI Registry.