Individual provider Active NPI

Sara Mekonnen Mekuria, M.D.

  • Cardiovascular Disease Physician
  • Frederick, MD
National Provider Identifier
1861650111
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0069671 Issued in MD
Practice address
180 Thomas Johnson Drive
Suite 202
Frederick, MD 21702-4550
Phone
(301) 631-6877
Fax
(240) 566-7820
NPI assigned
May 22, 2008
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0069671 MD Primary

Addresses

Primary practice location

180 Thomas Johnson Drive
Suite 202
Frederick, MD 21702-4550

Mailing address

180 Thomas Johnson Drive
Suite 202
Frederick, MD 21702-4550
Phone (301) 631-6877

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
I20091028000451 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466599188 Reassigns benefits to 2 organizations
I20150317001721 DC Practitioner - Cardiovascular Disease (Cardiology) 2466599188

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frederick Health Hospital IncGroup PAC ID 0446149256, 127 clinicians

Practice addresses (Care Compare)

501 W 7TH St
Frederick, MD 21701-4586
Phone (240) 215-6310

97 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4373

97 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4379
Phone (240) 815-6644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as individual
Quality
62.08
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc CurrentSince Jun 13, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

Interoperability endpoints

  • Direct secure messaging: sara.mekuria.1@12223.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1861650111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024550",
            "telephone_number": "301-631-6877",
            "fax_number": "240-566-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024550",
            "telephone_number": "301-631-6877",
            "fax_number": "240-566-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKURIA",
        "first_name": "SARA",
        "middle_name": "MEKONNEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0069671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.