Individual provider Active NPI

Diane Mae Rose Sy Dy, CRNA

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1023407335
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R175780 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-6704
Fax
(410) 328-4124
NPI assigned
Jan 12, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 104871 DE
Certified Registered Nurse Anesthetist 367500000X R175780 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64795
Baltimore, MD 21264-4795
Phone (410) 328-6704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150327001139 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133446339 Reassigns benefits to 13 organizations
I20170803000466 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133446339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
104871DEMDCertified Registered Nurse Anesthetist
R175780MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 17, 2024 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Mar 7, 2021 Accepting new patients
Maryland Expresscare LLC CurrentSince Feb 11, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 9, 2020 Accepting new patients
Easton Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 26, 2022 Accepting new patients
Urological Institute of Maryland CurrentSince Jul 23, 2022 Accepting new patients
Maryland Endoscopy Anesthesia LLC CurrentSince Jun 22, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Anesthesia Management Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2017 Accepting new patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 11, 2015 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Dec 1, 2017 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 9, 2020 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Dec 1, 2017 Accepting new patients
North Calvert Anesthesiology Services LLC CurrentSince Apr 19, 2025 Accepting new patients
University of Maryland Anesthesiology Associates, P.a. CurrentSince Mar 2, 2016 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients

Locations

6339 E Speedway Blvd
Ste 201
Tucson, AZ 85710
Phone (866) 950-8013

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2401 W Belvedere Ave
Baltimore, MD 21215

2700 Quarry Lake Dr
Ste 100
Baltimore, MD 21209
Phone (410) 653-0077

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

12252 Williams Rd SE
Ste 103
Cumberland, MD 21502
Phone (240) 522-0185

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

511 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6486

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

11110 Medical Campus Rd
Ste 248
Hagerstown, MD 21742
Phone (240) 313-9800

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1701 York Rd
Timonium, MD 21093
Phone (540) 846-1552

100 West Rd
Ste 115
Towson, MD 21204
Phone (410) 494-0144

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

6701 N Charles St
#4226
Towson, MD 21204
Phone (410) 296-4616

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1023407335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64795",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644795",
            "telephone_number": "410-328-6704",
            "fax_number": "410-328-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-6704",
            "fax_number": "410-328-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "DIANE MAE ROSE",
        "middle_name": "SY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "104871",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R175780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.