Individual provider Active NPI

Eliana Sanabria

  • Nutritionist
  • Gaithersburg, MD
National Provider Identifier
1720601552
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX5292 Issued in MD
Practice address
800 S Frederick Ave Ste 110
Gaithersburg, MD 20877-4151
Phone
(301) 208-2273
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX5292 MD Primary

Addresses

Primary practice location

800 S Frederick Ave Ste 110
Gaithersburg, MD 20877-4151

Mailing address

7529 Standish PL Ste 355
Derwood, MD 20855-2733
Phone (301) 444-5001

Other practice location 1

7529 Standish Pl Ste 355
Derwood, MD 20855-2733
Phone (301) 444-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220523002531 DC Practitioner - Registered Dietitian Or Nutrition Professional 4082091574 Reassigns benefits to 2 organizations
I20260608000479 MD Practitioner - Registered Dietitian Or Nutrition Professional 4082091574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians

Practice addresses (Care Compare)

111 W High St
Suite 214
Elkton, MD 21921-8611
Phone (310) 428-1070

12321 Middlebrook Rd
Germantown, MD 20874-1591
Phone (301) 428-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX5292MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Manbir Takhar, P.C. CurrentSince Jun 9, 2024 Accepting new patients
Medical Access P.C. Current Accepting new patients
Tru Health Group, PC Current Accepting new patients

Locations

111 W High St
Ste 214
Elkton, MD 21921
Phone (310) 428-1070

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

7598 Telegraph Rd
Alexandria, VA 22315
Phone (703) 778-0400

25031 Riding Plz
Ste 115
Chantilly, VA 20152

531 E Market St
Leesburg, VA 20176

1231 Wolf Rock Dr
Ste 185
Purcellville, VA 20132

22000 Dulles Retail Plz
Ste 132
Sterling, VA 20166
Phone (703) 962-4160

14520 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 497-1234

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1720601552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 STANDISH PL STE 355",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552733",
            "telephone_number": "301-444-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774151",
            "telephone_number": "301-208-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7529 Standish Pl Ste 355",
            "address_purpose": "LOCATION",
            "city": "Derwood",
            "state": "MD",
            "postal_code": "208552733",
            "country_code": "US",
            "telephone_number": "301-444-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANABRIA",
        "first_name": "ELIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX5292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.