Active NPI
Purnima Sau, M.D.
- Dermatopathology Physician
- Silver Spring, MD
National Provider Identifier
1912905266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- D0026623
- Practice address
- 8630 Fenton St
Suite 906
Silver Spring, MD 20910-3806 - Phone
- (301) 565-3699
- Fax
- (301) 585-1007
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | D0026623 | MD | Primary |
Addresses
Primary practice location
8630 Fenton St
Suite 906
Silver Spring, MD 20910-3806
Mailing address
8630 Fenton St
Suite 906
Silver Spring, MD 20910-3806
Phone (301) 565-3699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099055 | Medicaid | MD | |
| P00773612 | Other | DC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090803000706 | DC | Practitioner - Dermatology | 1557414984 | Practice locations: Silver Spring, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1912905266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8630 FENTON ST",
"address_2": "SUITE 906",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103806",
"telephone_number": "301-565-3699",
"fax_number": "301-585-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8630 FENTON ST",
"address_2": "SUITE 906",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103806",
"telephone_number": "301-565-3699",
"fax_number": "301-585-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAU",
"first_name": "PURNIMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MD",
"license": "D0026623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2099055",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00773612",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.