Active NPI
Sara Regezi Mac, CRNP
- Family Nurse Practitioner
- Rockville, MD
National Provider Identifier
1952737884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R202979
- Practice address
- 10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539 - Phone
- (301) 279-2779
- Fax
- (240) 403-0190
- NPI assigned
- Sep 24, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R202979 | MD | Primary |
Addresses
Primary practice location
10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539
Mailing address
10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539
Phone (301) 279-2779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 697440600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10110 Molecular Dr
Suite 206
Rockville, MD 20850-7542
Phone 3012792779105
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Medical Associates, P.C. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10110 Molecular Dr
Ste 206
Rockville, MD 20850
Phone (301) 279-2779
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005
- smac@montgomerymedical.gwaydirect.com
Organizations & group practices 2
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1598826448
-
dba Amedisys Home Health Care
- Home Health Agency
- Largo, MD
- NPI 1831143908
-
- Home Health Agency
- Gaithersburg, MD
- NPI 1902149891
-
dba MedStar Health Home Care
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
-
dba Suburban Hospital Radiation Oncology Infusion Center
- Radiation Oncology Clinic/Center
- Bethesda, MD
- NPI 1528096690
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1952737884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10110 MOLECULAR DR",
"address_2": "SUITE 206",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507539",
"telephone_number": "301-279-2779",
"fax_number": "240-403-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10110 MOLECULAR DR",
"address_2": "SUITE 206",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507539",
"telephone_number": "301-279-2779",
"fax_number": "240-403-0190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC",
"first_name": "SARA",
"middle_name": "REGEZI",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R202979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "697440600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.
- 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.