POOLESVILLE FAMILY PRACTICE
NPI 1033142393
Family Medicine in Poolesville, MD

Active since July 09, 2006CLIA 21D0686463 · Waiver
19710 FISHER AVE, SUITE J, POOLESVILLE, MD 20837(301) 972-7600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Poolesville Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POOLESVILLE FAMILY PRACTICE (NPI 1033142393) is a healthcare organization registered as a family medicine in Poolesville, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Kathleen J Kautz, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1033142393
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEONARD SAX MD PHD PA
Location Address19710 FISHER AVE, SUITE JPoolesville, MD 20837-2098
Mailing AddressPo Box 108Poolesville, MD 20837-0108 · (301) 972-7600 · Fax (301) 972-8006
Organization SubpartNo
Authorized OfficialKathleen J KautzPractice Administrator · (301) 972-7600
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033142393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D38076
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19710 FISHER AVE, Poolesville, MD 20837

Other Names 1

Doing Business AsPoolesville Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0686463

Poolesville Family Practice · Poolesville, MD
Active · expires Jul 17, 2028
CLIA Number21D0686463
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorAmar Duggirala Do
Laboratory Phone(301) 972-7600
Laboratory LocationPoolesville Family Practice19710 Fisher Avenue Ste J, Poolesville, MD 20837
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
19710 FISHER AVE, SUITE J
POOLESVILLE, MD 20837
Family Medicine
19710 FISHER AVE, SUITE J
POOLESVILLE, MD 20837
Pain Medicine (Pain Medicine)
19710 FISHER AVE
POOLESVILLE, MD 20837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Sax MD Phd PA's NPI number?

The NPI number for Leonard Sax MD Phd PA is 1033142393. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Poolesville Family Practice.

Where is Leonard Sax MD Phd PA located?

Leonard Sax MD Phd PA is located at 19710 Fisher Ave Suite J, Poolesville, MD 20837. The listed phone number is (301) 972-7600.

What is Leonard Sax MD Phd PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Leonard Sax MD Phd PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0686463) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leonard Sax MD Phd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.