LIFEBRIDGE PRIMARY CARE OF ELDERSBURG, LLC
NPI 1720404015
Internal Medicine in Sykesville, MD
About Lifebridge Primary Care Of Eldersburg, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFEBRIDGE PRIMARY CARE OF ELDERSBURG, LLC (NPI 1720404015), doing business as Drs Mez, Tan And Sarante, is a healthcare organization registered as an internal medicine in Sykesville, Maryland and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Mary Wright-sisk, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifebridge Primary Care Of Eldersburg, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Lifebridge Primary Care Of Eldersburg, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Waiver 21D0220927
Lifebridge Primary Care Of Eldersburg · Eldersburg, MDFrequently 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 Lifebridge Primary Care Of Eldersburg, LLC's NPI number?
The NPI number for Lifebridge Primary Care Of Eldersburg, LLC is 1720404015. It was assigned to this organization in the NPPES registry on March 11, 2014. The provider is doing business as Drs Mez, Tan and Sarante.
Where is Lifebridge Primary Care Of Eldersburg, LLC located?
Lifebridge Primary Care Of Eldersburg, LLC is located at 1645 Liberty Rd Ste 204, Sykesville, MD 21784. The listed phone number is (410) 795-7737.
What is Lifebridge Primary Care Of Eldersburg, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lifebridge Primary Care Of Eldersburg, LLC enrolled in Medicare?
Yes. Lifebridge Primary Care Of Eldersburg, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifebridge Primary Care Of Eldersburg, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Lifebridge Primary Care Of Eldersburg, LLC. A 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 the clinician's services. The largest specialties are Internal Medicine (3) and Nurse Practitioner (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifebridge Primary Care Of Eldersburg, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D0220927) is associated with this NPI, valid through October 27, 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 Lifebridge Primary Care Of Eldersburg, LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lifebridge Primary Care Of Eldersburg, Llc · NPI 1720404015
Internal Medicine organization in Sykesville, Maryland. Organization record, active in the CMS NPPES registry since March 11, 2014.
## Identity
- **NPI:** 1720404015 (Entity type: Organization)
- **Enumerated:** March 11, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Drs Mez, Tan and Sarante (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mary Wright-Sisk, DIRECTOR
## Practice location
- **Address:** 1645 LIBERTY RD STE 204, Sykesville, MD 21784-6542
- **Phone:** (410) 795-7737 · **Fax:** (410) 795-2828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720404015) · Data from the CMS NPPES public registry.