Organization Active NPI

Lifebridge Primary Care of Eldersburg, LLC

Doing business as Drs Mez, Tan and Sarante

  • Internal Medicine Physician
  • Sykesville, MD
National Provider Identifier
1720404015
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIFEBRIDGE PRIMARY CARE OF ELDERSBURG, LLC
Doing business as
Drs Mez, Tan and Sarante
Practice address
1645 Liberty Rd Ste 204
Sykesville, MD 21784-6542
Phone
(410) 795-7737
Fax
(410) 795-2828
NPI assigned
Mar 11, 2014
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mary Wright-Sisk
Title
Director
Phone
(443) 422-9941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD Primary

Addresses

Primary practice location

1645 Liberty Rd Ste 204
Sykesville, MD 21784-6542

Mailing address

1645 Liberty Rd Ste 204
Sykesville, MD 21784-6542
Phone (410) 795-7737

Other names 1

  • Drs Mez, Tan and Sarante Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140630001230 MD Part B Supplier - Clinic/Group Practice 0345465654 Receives reassigned benefits from 5 practitioners
Practice locations: Sykesville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0220927Lifebridge Primary Care of Eldersburg1645 Liberty Rd, Eldersburg, MD 21784Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1720404015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD STE 204",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846542",
            "telephone_number": "410-795-7737",
            "fax_number": "410-795-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD STE 204",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846542",
            "telephone_number": "410-795-7737",
            "fax_number": "410-795-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE PRIMARY CARE OF ELDERSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-SISK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-422-9941"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Mez, Tan and Sarante",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs Mez, Tan and Sarante",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.