Steven Demetrius Saris, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD021894 Issued in PA

Practice address

130 Valley Rd
Ardmore, PA 19003-1511

Phone

(610) 649-3150

NPI assigned

Jun 7, 2006

Last updated

Sep 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1861432940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 VALLEY RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031511",
            "telephone_number": "610-649-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 VALLEY RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031511",
            "telephone_number": "610-649-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIS",
        "first_name": "STEVEN",
        "middle_name": "DEMETRIUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "824299",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1764551",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07801685",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008507860004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Gayle Rosenthal-Fraiman, D.M.D.
• Kathy Lynn Rumer, D.O.
• Allison Ryder, PT, DPT
• Sarah Ellis Sa'Adah, M.D.
• Ralph S Sando Jr., MD
• Sarah E. Scheckter, PH.D.
• Remi Schmidt, CCC-SLP
• Bonnie Lynn Schur, M.ED, LMFT
• Lexi Schwartz
• Stanley S Schwartz, MD

• Internal Medicine Physician in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.