Active NPI 1043213929 Individual Practitioner Male Practitioner

Dr. Ali Mohammed Sarram , MD

Urology • Lone Tree, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ali Sarram, MD is a certified Urology practicing in Lone Tree, CO. With approximately 31 years of clinical experience since graduating from University Of Washington School Of Medicine in 1995, Dr. Sarram delivers high-quality medical care to the local community at 10535 PARK MEADOWS BLVD STE 102.

Dr. Sarram is affiliated with Advanced Urology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, principal care management services for a single high-risk disease, first, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10535 Park Meadows Blvd Ste 102

Lone Tree, CO 801248456

Telephone 3036956106

Associated Practice Facility / Clinic

🏢 Advanced Urology, Pllc Facility NPI 1962501551

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lone Tree, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +12.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Lone Tree, CO (257 Statewide)

Telehealth Adoption Rate

87.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sarram (31 Years) 31 Yrs

Lone Tree Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	595	392	$41.70	$16.26
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	413	54	$157.22	$61.76
51798 Ultrasound measurement of bladder capacity after voiding	304	229	$61.75	$11.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	208	$305.29	$127.29
99213 Established patient office or other outpatient visit, typically 15 minutes	233	194	$269.56	$91.38
81003 Automated urinalysis test	208	175	$5.00	$2.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	194	26	$161.18	$62.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$405.30	$167.61
52000 Diagnostic exam of bladder and urethra using an endoscope	80	75	$442.09	$77.05
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	46	15	$122.57	$48.33
J0696 Injection, ceftriaxone sodium, per 250 mg	39	12	$2.00	$0.46
76775 Limited ultrasound scan behind abdominal cavity	37	29	$269.19	$60.28
76856 Complete ultrasound scan of pelvis	36	35	$417.00	$107.65
55700 Biopsy of prostate gland	34	34	$638.79	$127.97
76872 Ultrasound scan of pelvic region through rectum	33	33	$329.67	$30.96
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	30	15	$122.27	$44.46
51741 Electronic assessment of bladder emptying	30	30	$198.47	$7.19
55899 Other procedure on male genital system	21	21	$856.19	$180.94
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$1005.38	$352.56
0421T Waterjet destruction of prostrate accessed through the urethra	13	13	$4575.23	$684.44
A4648 Tissue marker, implantable, any type, each	12	12	$912.75	$848.70
55876 Placement of device in prostate for radiation therapy	12	12	$658.67	$82.87
76872 Ultrasound scan of pelvic region through rectum	12	12	$329.67	$142.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$115.33	$14.50
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2648.00	$718.37
55874 Injection of biodegradable material next to prostate	11	11	$9302.09	$2931.46
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$649.45	$193.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	359	273	$61.00	$11.24
99213 Established patient office or other outpatient visit, typically 15 minutes	309	236	$266.00	$91.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	206	$301.00	$130.52
81003 Automated urinalysis test	170	146	$5.00	$2.15
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	111	41	$155.00	$62.33
52000 Diagnostic exam of bladder and urethra using an endoscope	89	77	$435.00	$79.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$400.00	$167.85
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	48	20	$159.00	$63.85
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$2.00	$0.52
51741 Electronic assessment of bladder emptying	36	34	$195.00	$7.77
76775 Limited ultrasound scan behind abdominal cavity	35	29	$265.00	$61.80
76856 Complete ultrasound scan of pelvis	34	34	$411.00	$111.91
76872 Ultrasound scan of pelvic region through rectum	28	28	$325.00	$32.66
0421T Waterjet destruction of prostrate accessed through the urethra	28	28	$4506.00	$680.48
55700 Biopsy of prostate gland	27	27	$575.00	$129.46
52000 Diagnostic exam of bladder and urethra using an endoscope	22	22	$435.00	$233.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$261.00	$114.82
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$640.00	$196.43
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$990.00	$361.14
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	18	11	$121.00	$48.52
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$405.00	$31.96
55899 Other procedure on male genital system	17	17	$840.00	$77.02
76872 Ultrasound scan of pelvic region through rectum	15	15	$325.00	$144.92
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	15	11	$121.00	$48.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$114.00	$14.63
55876 Placement of device in prostate for radiation therapy	11	11	$650.00	$85.60
A4648 Tissue marker, implantable, any type, each	11	11	$900.00	$885.60
55874 Injection of biodegradable material next to prostate	11	11	$9185.00	$3097.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	330	264	$61.00	$11.10
99213 Established patient office or other outpatient visit, typically 15 minutes	318	259	$266.00	$93.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	154	$301.00	$130.81
J0696 Injection, ceftriaxone sodium, per 250 mg	112	28	$2.00	$0.47
52000 Diagnostic exam of bladder and urethra using an endoscope	96	84	$435.00	$261.76
81003 Automated urinalysis test	91	89	$5.00	$2.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$400.00	$169.32
51741 Electronic assessment of bladder emptying	36	35	$195.00	$7.58
76856 Complete ultrasound scan of pelvis	36	36	$411.00	$114.39
76872 Ultrasound scan of pelvic region through rectum	33	33	$325.00	$140.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	28	$114.00	$13.82
55700 Biopsy of prostate gland	28	28	$575.00	$245.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$261.00	$115.37
55899 Other procedure on male genital system	25	25	$840.00	$79.63
0421T Waterjet destruction of prostrate accessed through the urethra	23	23	$4517.22	$704.00
52000 Diagnostic exam of bladder and urethra using an endoscope	21	21	$435.00	$80.70
76775 Limited ultrasound scan behind abdominal cavity	18	18	$265.00	$60.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	402	305	$60.76	$10.88
99213 Established patient office or other outpatient visit, typically 15 minutes	395	312	$259.04	$94.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	157	$278.90	$132.74
81003 Automated urinalysis test	138	124	$5.00	$2.25
52000 Diagnostic exam of bladder and urethra using an endoscope	127	110	$435.00	$250.17
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	74	22	$4445.00	$1075.02
J0696 Injection, ceftriaxone sodium, per 250 mg	68	17	$1.94	$0.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$387.11	$169.76
51741 Electronic assessment of bladder emptying	42	42	$195.00	$7.27
55899 Other procedure on male genital system	38	38	$840.00	$42.95
76856 Complete ultrasound scan of pelvis	35	35	$377.31	$116.98
76872 Ultrasound scan of pelvic region through rectum	33	31	$325.00	$145.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$251.90	$115.86
55700 Biopsy of prostate gland	25	24	$575.00	$253.15
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	22	22	$5905.00	$1502.10
76770 Complete ultrasound scan behind abdominal cavity	16	16	$404.00	$119.82
76775 Limited ultrasound scan behind abdominal cavity	16	14	$265.00	$61.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$117.14	$56.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,001	13	$5.00	$2.78
99213 Established patient office or other outpatient visit, typically 15 minutes	428	330	$134.97	$76.22
51798 Ultrasound measurement of bladder capacity after voiding	328	247	$60.00	$10.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	195	$195.00	$109.37
52000 Diagnostic exam of bladder and urethra using an endoscope	145	119	$435.00	$217.58
81003 Automated urinalysis test	137	111	$5.00	$2.20
J0696 Injection, ceftriaxone sodium, per 250 mg	84	21	$1.00	$0.55
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	77	23	$4445.00	$1044.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$295.00	$165.88
51741 Electronic assessment of bladder emptying	45	44	$195.00	$7.45
76872 Ultrasound scan of pelvic region through rectum	40	39	$325.00	$142.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$195.00	$110.60
76856 Complete ultrasound scan of pelvis	35	35	$280.00	$114.20
53899 Other procedure on urinary system	28	28	$840.00	$46.03
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	23	23	$5905.00	$1431.07
55700 Biopsy of prostate gland	23	23	$575.00	$259.39
51720 Instillation of anti-cancer drug into bladder	21	13	$390.00	$86.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	19	$45.00	$13.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$80.00	$46.85
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$620.00	$302.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	554	375	$156.55	$74.54
51798 Ultrasound measurement of bladder capacity after voiding	399	251	$49.22	$12.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	129	$237.53	$108.57
J0696 Injection, ceftriaxone sodium, per 250 mg	145	32	$2.38	$0.58
52000 Diagnostic exam of bladder and urethra using an endoscope	145	124	$470.06	$187.80
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	113	32	$3349.96	$980.16
81003 Automated urinalysis test	105	77	$5.00	$2.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$350.21	$163.46
76872 Ultrasound scan of pelvic region through rectum	67	60	$324.40	$129.09
51741 Electronic assessment of bladder emptying	66	62	$107.35	$9.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$234.23	$109.64
81000 Manual urinalysis test with examination using microscope, non-automated	56	49	$12.93	$3.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	40	$45.96	$16.72
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	32	32	$4420.16	$1305.46
55700 Biopsy of prostate gland	29	29	$582.31	$249.99
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	17	$670.00	$276.13
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	17	$935.28	$336.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	16	$3352.37	$431.25
76856 Complete ultrasound scan of pelvis	16	16	$280.00	$111.41
51702 Simple insertion of temporary bladder tube	15	12	$145.00	$63.35
A4648 Tissue marker, implantable, any type, each	15	13	$1339.27	$1199.76
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	14	11	$140.00	$31.34
55876 Placement of device in prostate for radiation therapy	13	13	$421.54	$145.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$358.33	$147.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$97.83	$45.82
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$301.82	$55.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	418	302	$105.23	$71.46
51798 Ultrasound measurement of bladder capacity after voiding	318	197	$35.45	$15.76
52000 Diagnostic exam of bladder and urethra using an endoscope	170	149	$320.53	$164.44
J0696 Injection, ceftriaxone sodium, per 250 mg	104	25	$5.00	$0.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$226.00	$161.82
81000 Manual urinalysis test with examination using microscope, non-automated	87	74	$18.71	$3.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	69	$150.00	$104.49
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	82	21	$1700.00	$957.81
51741 Electronic assessment of bladder emptying	76	63	$148.13	$10.05
76872 Ultrasound scan of pelvic region through rectum	68	65	$203.78	$93.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$155.00	$106.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	20	$68.47	$43.13
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	14	$49.66	$21.24
55700 Biopsy of prostate gland	28	28	$348.75	$248.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	23	$306.04	$57.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	22	$40.00	$20.19
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	22	21	$2200.00	$1249.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	14	$1105.43	$132.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$200.00	$142.24
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$2310.00	$733.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	410	298	$113.12	$73.24
51798 Ultrasound measurement of bladder capacity after voiding	360	229	$41.53	$19.58
81000 Manual urinalysis test with examination using microscope, non-automated	172	116	$16.41	$4.26
52000 Diagnostic exam of bladder and urethra using an endoscope	170	147	$383.42	$166.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	116	$165.63	$107.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$263.13	$163.16
J0696 Injection, ceftriaxone sodium, per 250 mg	88	19	$5.00	$0.65
76872 Ultrasound scan of pelvic region through rectum	72	66	$235.38	$92.12
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	72	20	$1700.00	$965.60
51741 Electronic assessment of bladder emptying	59	53	$141.63	$9.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$169.95	$109.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	14	$220.00	$104.93
55700 Biopsy of prostate gland	21	20	$472.00	$252.24
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	20	20	$2200.00	$1261.45
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$357.38	$55.70
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$390.00	$35.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	11	$1088.89	$129.11
A4648 Tissue marker, implantable, any type, each	15	11	$3300.00	$1382.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$77.00	$43.91
81002 Urinalysis, manual test	14	14	$10.00	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$236.50	$138.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$50.00	$20.40
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	13	$433.00	$113.69
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$475.00	$320.07
55876 Placement of device in prostate for radiation therapy	11	11	$220.00	$132.26
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2310.00	$870.90

Medical Specialties & State Licenses

CMS Verified: 2025-06-04

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CO DR.0038610

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Specialist

NUCC Taxonomy Code: 174400000X

State License CO 38610

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Advanced Urology Pllc

32135 Castle Ct, Evergreen, CO 804398006

Phone: 3039852550

Advanced Urology Pllc

10535 Park Meadows Blvd, Lone Tree, CO 801248455

Phone: 3036956106

Advanced Urology Pllc

255 S Routt St, Lakewood, CO 802282271

Phone: 3039852550

Advanced Urology Pllc

4500 E 9th Ave, Denver, CO 802203923

Phone: 3035328007

Secondary Practice Locations

11960 Lioness Way, Suite 210

Parker, CO 801345640

Phone: 3036956106

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Daniel Humer , PA-C

Physician Assistant

NPI 1003053554

Physician Assistant (Certified)

Dr. Suzanne Merrill , MD

Urology

NPI 1114194792

Doctor of Medicine (M.D.)

Sydney Lancaster , PA-C

Physician Assistant

NPI 1174368419

Physician Assistant (Certified)

Tracy Johnson , PA-C

Physician Assistant

NPI 1184709347

Physician Assistant (Certified)

Amanda Olson

Physician Assistant

NPI 1235625161

Anna Wagner , PA-C

Physician Assistant

NPI 1235869587

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 04, 2025

Registered at 10535 PARK MEADOWS BLVD STE 102, LONE TREE, CO 801248456 (Tel: 3036956106)

📍

Updated Business Mailing Address June 04, 2025

Registered at 10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 211174366 (Tel: 4105811600)

✅

NPI Profile Active March 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2014

Registered at 11960 LIONESS WAY, SUITE 210, PARKER, CO 801345640 (Tel: 3036956106)

📍

Updated Business Mailing Address March 04, 2014

Registered at 11960 LIONESS WAY, SUITE 210, PARKER, CO 801340000 (Tel: 3036958706)

👤

Provider Name / Credentials Updated March 04, 2014

Recorded as ALI SARRAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2014

Specialist (License #38610 in CO)

🟢

Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043213929

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2005

Last Update: June 04, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10200 Grand Central Ave Ste 220

Owings Mills, MD 211174366

Phone: 4105811600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.