Active NPI
Emmanuel Sokponwu Ibhaze, CRNA
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R192422
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 222-3000
- NPI assigned
- Jan 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R192422 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | R192422 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
6201 Greenleigh Building
Baltimore, MD 21220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090890800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150331001161 | MD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951628965 | Reassigns benefits to 4 organizations |
| I20220927003056 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951628965 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Johns Hopkins University
Practice addresses (Care Compare)
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
Hospital & facility affiliations
- Johns Hopkins Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R192422 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Maryland Expresscare LLC | Current | Accepting new patients | |
| University of Maryland Medical System Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Shock Trauma Associates, P.a. | Past | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
600 N Wolfe St
Baltimore, MD 21287
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
Interoperability endpoints
- eibhaze202268@direct.hopkinsmedicine.org
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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DC, MD, Nurse Anesthetist, Certified Registered
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- NPI 1508807355
MD, Nurse Anesthetist, Certified Registered
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- Geriatric Medicine (Internal Medicine) Physician
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- Critical Care Medicine (Internal Medicine) Physician
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- Clinical Medical Laboratory
- Baltimore, MD
- NPI 1780824458
Hospital & facility affiliations 1
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": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1083004154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH BUILDING",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-222-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBHAZE",
"first_name": "EMMANUEL",
"middle_name": "SOKPONWU",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-28",
"last_updated": "2021-12-08",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R192422",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R192422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090890800",
"state": "MD"
}
],
"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 Dec 8, 2021; 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.