Individual provider Active NPI

Sophia Lenore de Goes Seekins, MD

  • Anesthesiology Physician
  • Owings Mills, MD
National Provider Identifier
1801822770
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
44468 Issued in CO
Practice address
23 Crossroads Dr Ste 100
Owings Mills, MD 21117-5476
Phone
(410) 356-0300
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44468 CO Primary

Addresses

Primary practice location

23 Crossroads Dr Ste 100
Owings Mills, MD 21117-5476

Mailing address

10090 Red Run Blvd
Owings Mills, MD 21117-4827
Phone (102) 410-3804

Other identifiers 1

IdentifierTypeStateIssuer
12552810MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190506000006 MD Practitioner - Anesthesiology 7810994852 Reassigns benefits to 3 organizations
I20260421001858 DC Practitioner - Anesthesiology 7810994852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Anesthesia Associates LLCGroup PAC ID 2062514888, 109 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216
Phone 80051653155104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44468COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Anesthesia Associates, LLC Anesthesiology CurrentSince Jun 5, 2023 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Mar 11, 2019 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

23 Crossroads Dr
Ste 100
Owings Mills, MD 21117
Phone (410) 356-0300

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1801822770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 RED RUN BLVD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174827",
            "telephone_number": "102-410-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175476",
            "telephone_number": "410-356-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEKINS",
        "first_name": "SOPHIA",
        "middle_name": "LENORE DE GOES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "44468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12552810",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.