Individual provider Active NPI

Satra Mirmirani

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1861366627
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R128982 Issued in MD
Practice address
15200 Shady Grove Rd Ste 401
Rockville, MD 20850-3218
Phone
(240) 912-4683
Fax
(240) 912-4695
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R128982 MD Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 401
Rockville, MD 20850-3218

Mailing address

11304 Broad Green Dr
Potomac, MD 20854-2025
Phone (301) 651-6102

Other practice location 1

11304 Broad Green Dr
Potomac, MD 20854-2025
Phone (301) 651-6102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211002532 DC Practitioner - Nurse Practitioner 9931693439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Services of Maryland, L.L.C.Group PAC ID 0648443929, 8 clinicians

Practice addresses (Care Compare)

15200 Shady Grove Rd
Suite 401
Rockville, MD 20850-3218
Phone (240) 912-4683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R128982MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Services of Maryland LLC CurrentSince Nov 1, 2025 Accepting new patients
Sleep Services of Maryland, L.L.C. CurrentSince Nov 1, 2025 Accepting new patients

Locations

19735 Germantown Rd
Ste 305
Germantown, MD 20874
Phone (240) 912-4683

15200 Shady Grove Rd
Ste 401
Rockville, MD 20850
Phone (240) 470-7715

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1861366627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 BROAD GREEN DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542025",
            "telephone_number": "301-651-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 401",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503218",
            "telephone_number": "240-912-4683",
            "fax_number": "240-912-4695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11304 Broad Green Dr",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208542025",
            "country_code": "US",
            "telephone_number": "301-651-6102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRMIRANI",
        "first_name": "SATRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R128982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.