Richa Lisa Sabu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008283 Issued in MD

Practice address

912 Washington Rd
Westminster, MD 21157-5827

Phone

(410) 848-4121

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carroll Primary Care, PA

  • Family Medicine Physician
  • Eldersburg, MD
  • NPI 1427189174
  Medicare reassignment
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1932859907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 WEBBED FOOT WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437976",
            "telephone_number": "443-743-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WASHINGTON RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575827",
            "telephone_number": "410-848-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABU",
        "first_name": "RICHA",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Runser, ATC
• Juliet Constance Russell, PA-C
• Philip John Ruzbarsky, M.D.
• Susannah Ruzbarsky
• Tracie L Ryberg, D.O.
• Emily Sacher, LGPC
• Safe Harbor Christian Counseling
• Safe Harbor Christian Counseling
• Safe Harbor Christian Counseling
• Yusuke Sagawa, MD

• Physician Assistant in Westminster, MD
• Providers in Westminster, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.