Organization Active NPI

Vesper Medical Transport of Maryland

  • Land Ambulance
  • Waldorf, MD
National Provider Identifier
1861990947
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VESPER MEDICAL TRANSPORT OF MARYLAND
Practice address
3825 Leonardtown Rd Ste 7
Waldorf, MD 20601-3694
Phone
(330) 495-8888
Fax
(330) 294-1634
NPI assigned
Jan 24, 2018
Last updated
Jul 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Sarah Ann Susalla
Title
Coo
Phone
(330) 495-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3825 Leonardtown Rd Ste 7
Waldorf, MD 20601-3694

Mailing address

PO Box 530747
Atlanta, GA 30353-0747
Phone (330) 495-8888

Other practice location 1

504 2nd st
Marietta, OH 45750-2118
Phone (888) 664-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180814003658 MD Part B Supplier - Ambulance Service Supplier 4981953668 Practice locations: Waldorf, MD
O20260116003334 OH Part B Supplier - Ambulance Service Supplier 4981953668 Practice locations: Marietta, OH

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
36D2335838Vesper Medical Transport of Maryland504 2ND St, Marietta, OH 45750Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

23 Henry Ford Cir
Ste A
Waldorf, MD 20602

23 Henry Ford Cir
Ste Ab
Waldorf, MD 20602
Phone (202) 373-5840

3825 Leonardtown Rd
Ste 7
Waldorf, MD 20601
Phone (303) 495-8888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1861990947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530747",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530747",
            "telephone_number": "330-495-8888",
            "fax_number": "330-304-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 LEONARDTOWN RD STE 7",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013694",
            "telephone_number": "330-495-8888",
            "fax_number": "330-294-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 2nd st",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502118",
            "country_code": "US",
            "telephone_number": "888-664-0092",
            "fax_number": "330-294-1634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VESPER MEDICAL TRANSPORT OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "SUSALLA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-495-8888"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.