NPIMap

Organization Active NPI

Samer Saiedy, MD PA

  • Specialist
  • Cockeysville, MD
National Provider Identifier
1710164504
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D54274 Issued in MD
Legal business name
SAMER SAIEDY, MD PA
Practice address
110 Old Padonia Rd Ste 101
Cockeysville, MD 21030-4944
Phone
(410) 825-4530
Fax
(410) 825-3787
NPI assigned
Jan 24, 2008
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Mrs. Melissa Marie Coster
Title
Medical Billing Manager
Phone
(410) 825-4530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D54274 MD Primary

Addresses

Primary practice location

110 Old Padonia Rd Ste 101
Cockeysville, MD 21030-4944

Mailing address

110 Old Padonia Rd Ste 201
Cockeysville, MD 21030-4949
Phone (443) 761-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080311000299 MD Part B Supplier - Clinic/Group Practice 5698850956 Receives reassigned benefits from 16 practitioners
Practice locations: Westminster, MD; Rosedale, MD; Pikesville, MD; Havre de Grace, MD; Hagerstown, MD; Glen Burnie, MD; Abingdon, MD; Baltimore, MD…
O20141117000000 PA Part B Supplier - Clinic/Group Practice 5698850956 Receives reassigned benefits from 9 practitioners
Practice locations: Chambersburg, PA; Hanover, PA; York, PA
O20171214000896 DC Part B Supplier - Clinic/Group Practice 5698850956 Receives reassigned benefits from 6 practitioners
Practice locations: Berwyn Heights, MD; Laurel, MD

National Provider Directory

National Provider Directory

Locations

510 Upper Chesapeake Dr
Ste 517
Bel Air, MD 21014
Phone (410) 420-4355

6201 Greenbelt Rd
Unit L12
Berwyn Heights, MD 20740

110 Old Padonia Rd
Ste 101
Cockeysville, MD 21030
Phone (410) 825-4530

10700 Charter Dr
Ste 335
Columbia, MD 21044
Phone (443) 276-3101

14202 Laurel Park Dr Ste 214
Laurel, MD 20707

250 Fame Ave
Ste 204
Hanover, PA 17331
Phone (717) 316-0900

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1710164504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OLD PADONIA RD STE 201",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304949",
            "telephone_number": "443-761-6570",
            "fax_number": "410-825-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OLD PADONIA RD STE 101",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304944",
            "telephone_number": "410-825-4530",
            "fax_number": "410-825-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER SAIEDY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "COSTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "410-825-4530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D54274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.