Organization Active NPI

Sandra Gail Sattin MD LLC

  • Internal Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1770959801
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SANDRA GAIL SATTIN MD LLC
Practice address
5300 Dorsey Hall Dr
Suite 200
Ellicott City, MD 21042-7791
Phone
(410) 461-7999
Fax
(410) 461-7990
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Sandra SattinNPI 1982663399
Title
Owner
Phone
(410) 461-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5300 Dorsey Hall Dr
Suite 200
Ellicott City, MD 21042-7791

Mailing address

5300 Dorsey Hall Dr
Suite 200
Ellicott City, MD 21042-7791
Phone (410) 461-7999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902000329 MD Part B Supplier - Clinic/Group Practice 6103132436 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, 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
21D2103687Sandra Gail Sattin MD, LLC5300 Dorsey Hall Dr Ste 200, Ellicott City, MD 21042Provider-performed microscopyOct 18, 2027

National Provider Directory

National Provider Directory

Locations

5300 Dorsey Hall Dr
Ellicott City, MD 21042

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12078/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1770959801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "SUITE 200",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427791",
            "telephone_number": "410-461-7999",
            "fax_number": "410-461-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "SUITE 200",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427791",
            "telephone_number": "410-461-7999",
            "fax_number": "410-461-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA GAIL SATTIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "SATTIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-461-7999"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.