Active NPI
Sandra Leni, MD MS
- Internal Medicine Physician
- Severna Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 219947
- Practice address
- 645 Baltimore Annapolis Blvd Ste 213
Severna Park, MD 21146-3934 - Phone
- (240) 428-0528
- NPI assigned
- Aug 3, 2006
- Last updated
- Dec 19, 2019
- Sex
- Female
- 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 | 219947 | NY | Primary |
Addresses
Primary practice location
645 Baltimore Annapolis Blvd Ste 213
Severna Park, MD 21146-3934
Mailing address
645 Baltimore Annapolis Blvd Ste 213
Severna Park, MD 21146-3934
Phone (240) 428-0528
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02283425 | Medicaid | NY | |
| P010219947 | Other | BCBS | |
| 106585BJ | Other | PREFERRED CARE |
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 Compare- Specialty
- Internal Medicine
- Education
- State University of New York at Buffalo School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
645 Baltimore Annapolis Blvd
Suite 213
Severna Park, MD 21146-3934
Phone (240) 428-0528
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219947 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra Leni, MD, LLC | Internal Medicine | Current | Accepting new patients |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Lifebridge Community Physicians Inc | Current | Accepting new patients |
Locations
645 Baltimore Annapolis Blvd
Ste 213
Severna Park, MD 21146
Phone (240) 428-0528
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1760490270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 213",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463934",
"telephone_number": "240-428-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 213",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463934",
"telephone_number": "240-428-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENI",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "MD MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "219947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02283425",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P010219947",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "106585BJ",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.