Active NPI
Collins P Sein, MD
- Internal Medicine Physician
- Waldorf, MD
National Provider Identifier
1699769554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0046979
- Practice address
- 3460 Old Washington Rd
Suite 203a
Waldorf, MD 20602-3240 - Phone
- (301) 934-8811
- Fax
- (301) 934-9321
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0046979 | MD | Primary |
Addresses
Primary practice location
3460 Old Washington Rd
Suite 203a
Waldorf, MD 20602-3240
Mailing address
PO Box 1558
Waldorf, MD 20604-1558
Phone (301) 638-9670
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F2470001 | Other | DC | BLUE CROSS |
| 293041 | Other | MD | MAMSI, ALLIANCE |
| 431203100 | Medicaid | MD | |
| KAF9SO | Other | MD | BLUE CROSS |
| 110237779 | Other | MD | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.35 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 81.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0046979 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Jayanthan.M.D.,P.a | Internal Medicine | Past | Accepting new patients |
Locations
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
-
- Family Medicine Physician
- Waldorf, MD
- NPI 1831386630
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Waldorf, MD
- NPI 1316111651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1699769554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1558",
"city": "WALDORF",
"state": "MD",
"postal_code": "206041558",
"telephone_number": "301-638-9670",
"fax_number": "301-638-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 OLD WASHINGTON RD",
"address_2": "SUITE 203A",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023240",
"telephone_number": "301-934-8811",
"fax_number": "301-934-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIN",
"first_name": "COLLINS",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0046979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "F2470001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI, ALLIANCE",
"identifier": "293041",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431203100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "KAF9SO",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110237779",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.