MAURO SARMIENTO M.D., PHD
NPI 1285607465
Internal Medicine in Rockville, MD

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
12403 BRAXFIELD COURT, #14, ROCKVILLE, MD 20852(973) 715-9775 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mauro Sarmiento M.d., Phd NPPES

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

MAURO SARMIENTO M.D., PHD (NPI 1285607465) is an individual internal medicine provider in Rockville, Maryland, licensed in Massachusetts (226573) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285607465
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAURO SARMIENTOCredential: M.D., PHD
Location Address12403 BRAXFIELD COURT, #14Rockville, MD 20852
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2003
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1285607465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 226573✔ Licensed in MD · D66895✔ Licensed in DC · MD041360
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D66895 (MD), MD041360 (DC)
12403 BRAXFIELD COURT, Rockville, MD 20852

Secondary Practice Locations 2

Location 15255 Loughboro Rd NWWashington, DC 20016-2633 · Phone (202) 329-7105 · Fax (202) 537-4734
Location 28600 Old Georgetown RdBethesda, MD 20814-1422 · Phone (301) 896-3990 · Fax (301) 896-7330

Other Identifiers 1

Medicaid415096100MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mauro Sarmiento M.d., Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608882717
PECOS Enrollment IDI20080911000383
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Mauro Sarmiento reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
11424 CUSHMAN RD
Rockville, MD 20852
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
Skilled Nursing Facility
7929 WESTPARK DR
Tysons, VA 22102
  • Reassigned Medicare billing, District of Columbia enrollment
  • 691 clinicians in this Medicare group
Emergency Care
22 S GREENE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Shock Trauma Associates PA
  • 541 clinicians in this Medicare group
Critical Care Medicine
11116 MEDICAL CAMPUS RD
Hagerstown, MD 21742
  • Reassigned Medicare billing, District of Columbia enrollment
  • 12 clinicians in this Medicare group
Family Medicine
217 GROCERY AVENUE, SUITE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
173 services135 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services55 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

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 Mauro Sarmiento's NPI number?

The NPI number for Mauro Sarmiento is 1285607465. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Mauro Sarmiento located?

Mauro Sarmiento practices at 12403 Braxfield Court #14, Rockville, MD 20852. The listed phone number is (973) 715-9775.

What is Mauro Sarmiento's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mauro Sarmiento enrolled in Medicare?

Yes. Mauro Sarmiento is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mauro Sarmiento's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mauro Sarmiento reassigns Medicare benefits to 5 organizations: Mobile Medical Professionals LLC (Rockville, MD), Johns Hopkins Community Physicians, Inc (Tysons, VA), Shock Trauma Associates, P.A. (Baltimore, MD), Anacostia Medical Associates (Hagerstown, MD) and Winchester Medical Center (Winchester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mauro Sarmiento's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mauro Sarmiento affiliated with any hospitals?

According to CMS data, Mauro Sarmiento is affiliated with Suburban Hospital.

When was this NPI record last updated?

The NPPES record for Mauro Sarmiento was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.