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DR. SANJIV K SAINI MD
NPI 1598805293
Specialist in Lexington Park, MD

Active since February 08, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 21D2113855 · Certificate of Compliance
100/100
CMS Quality Rating
22335 EXPLORATION DR, SUITE 2005, LEXINGTON PARK, MD 20653(301) 863-7310(301) 863-7642 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sanjiv K Saini Md NPPES

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

DR. SANJIV K SAINI MD (NPI 1598805293) is an individual specialist in Lexington Park, Maryland, licensed in Maryland (D0031545) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through August 9, 2027, and is a graduate of Georgetown University School Of Medicine (1983).

NPPES Registry Identity

NPI1598805293
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SANJIV K SAINICredential: MD
Location Address22335 EXPLORATION DR, SUITE 2005Lexington Park, MD 20653-2014
Mailing Address3168 Braverton St, Suite 340Edgewater, MD 21037 · (410) 956-7777
Phone(301) 863-7310
Fax(301) 863-7642
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1983
Enumeration DateFebruary 8, 2007
Last NPPES UpdateFebruary 27, 2013
✔ NPI 1598805293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0031545
Definition
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.
22335 EXPLORATION DR, Lexington Park, MD 20653
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Other Identifiers 4

Medicare ID-Type Unspecified131NMD · Medicare
Medicare UPINS15711MD
Medicaid995802900MD
Medicare UPINF15711

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

Dr. Sanjiv K Saini Md 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 ID7113917923
PECOS Enrollment IDI20050414000145
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 Reassignment

Medicare enrollment records show Sanjiv Saini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanjiv K. Saini M.D.,llc
Same address
Specialist
22335 EXPLORATION DR, SUITE 2005
Lexington Park, MD 20653
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Sanjiv K Saini MD LLC
  • 5 clinicians in this Medicare group
NPI 1710020995 (301) 863-7310

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

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 Compliance 21D2113855

Sanjiv K Saini, MD LLC · Edgewater, MD
Active · expires Aug 9, 2027
CLIA Number21D2113855
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorArjun D. Saini
Laboratory Phone(410) 956-7776
Laboratory LocationSanjiv K Saini, MD LLC3168 Braverton Street, Suite 340, Edgewater, MD 21037
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 12

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.

Destruction of growth of eyelid margin, 1.0 cm or less 67850
This procedure involves the removal of a small growth on the edge of your eyelid. It's typically done when the growth causes discomfort or affects vision. The growth, measuring 1.0 cm or less, is carefully destroyed, aiding in your eye comfort and health.
3,380 services211 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
1,367 services248 patients
Destruction of skin growth, 15 or more growths 17111
"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.
1,354 services253 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,134 services250 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
354 services181 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
75 services19 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
39%415 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,869 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
0%714 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
75%2,246 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
40%416 patients2/55-star benchmark: 95%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
22%64 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%2,246 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%2,246 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
88%167 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SANJIV K. SAINI M.D.,LLC
Specialist
22335 EXPLORATION DR, SUITE 2005
LEXINGTON PARK, MD 20653
St. Mary's County (301) 863-7310
DR. JOHN CHARLES KNOWLTON D.D.S.
Dentist (General Practice)
22335 EXPLORATION DR, SUITE 1010
LEXINGTON PARK, MD 20653
St. Mary's County (301) 862-2118
JOEL SAMUEL HERTZ D.P.M.
Podiatrist
22335 EXPLORATION DR, SUITE 1015
LEXINGTON PARK, MD 20653
St. Mary's County (301) 934-3345

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 Sanjiv Saini's NPI number?

The NPI number for Sanjiv Saini is 1598805293. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Sanjiv Saini located?

Sanjiv Saini practices at 22335 Exploration Dr Suite 2005, Lexington Park, MD 20653. The listed phone number is (301) 863-7310.

What is Sanjiv Saini's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sanjiv Saini enrolled in Medicare?

Yes. Sanjiv Saini 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 organization bills Medicare for Sanjiv Saini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjiv Saini reassigns Medicare benefits to Sanjiv K. Saini M.D.,llc (Lexington Park, MD). The 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 Sanjiv Saini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Sanjiv Saini hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2113855) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanjiv Saini was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.