Individual provider Active NPI

Tara Saggar, M.D.

  • Internal Medicine Physician
  • Waldorf, MD
National Provider Identifier
1942211412
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0066719 Issued in MD
Practice address
10 Saint Patricks Dr
Suite 203
Waldorf, MD 20603-4527
Phone
(301) 843-0222
Fax
(301) 846-0651
NPI assigned
Aug 10, 2006
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0066719 MD Primary

Addresses

Primary practice location

10 Saint Patricks Dr
Suite 203
Waldorf, MD 20603-4527

Mailing address

10403 Hospital Dr
Suite G4
Clinton, MD 20735-3134
Phone (301) 856-3019

Other identifiers 5

IdentifierTypeStateIssuer
1851473722OtherMDGROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
1780629683OtherMDGROUP NPI - WALDORF FAMILY MEDICAL CENTER
B776-0032OtherDCBCBS DC
KR10OtherMDMARYLAND MEDICARE GROUP # FOR MEDICAL AND SURGICAL CLINICS OF SOUTHERN MARYLAND
92463701OtherMDBCBS MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20080516000091 DC Practitioner - Internal Medicine 2466473715 Reassigns benefits to 1 organization
I20090825000121 MD Practitioner - Internal Medicine 2466473715 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Nov 5, 2016 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Nov 5, 2016 Accepting new patients
Medical & Surgical Clinics of Southern Maryland Inc Internal Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

10403 Hospital Dr
Ste 103
Clinton, MD 20735
Phone (301) 856-8990

10403 Hospital Dr
Ste G4
Clinton, MD 20735
Phone (301) 856-3019

7501 Surratts Rd
Ste 104
Clinton, MD 20735
Phone (301) 877-4689

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

900 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-1590

10 Saint Patricks Dr
Ste 203
Waldorf, MD 20603
Phone (301) 396-8071

3062 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 782-2220

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medstar St. Mary's HospitalLeonardtown, MD, CCN 210028 Hospital Corporate Director
W-2 Managing Employee
Jul 1, 2018
Jul 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1942211412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR",
            "address_2": "SUITE G4",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353134",
            "telephone_number": "301-856-3019",
            "fax_number": "301-856-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR",
            "address_2": "SUITE 203",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-843-0222",
            "fax_number": "301-846-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGAR",
        "first_name": "TARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "1851473722",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - WALDORF FAMILY MEDICAL CENTER",
            "identifier": "1780629683",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "B776-0032",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICARE GROUP # FOR MEDICAL AND SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "KR10",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "92463701",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.