Individual provider Active NPI

John Albert Lanunziata IV, M.D.

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1104962646
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
V0375 Issued in MD
Practice address
201 E University Pkwy BLDG Ste 226
Baltimore, MD 21218-2829
Phone
(410) 554-6559
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X V0375 MD Primary

Addresses

Primary practice location

201 E University Pkwy BLDG Ste 226
Baltimore, MD 21218-2829

Mailing address

3206 Fait Ave
Baltimore, MD 21224-4031
Phone (443) 904-7397

Other practice location 1

3206 Fait Ave
Baltimore, MD 21224-4031
Phone (443) 904-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327000202 FL Practitioner - Anesthesiology 5597851360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albany Medical College of Union University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians

Practice addresses (Care Compare)

2438 Dr Martin Luther King Jr St N
Surgcenter of NE
St Petersburg, FL 33704-2750
Phone (727) 543-9204

983 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-5355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V0375MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centurion Anesthesia - FL LLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Feb 12, 2023 Accepting new patients
Parkway Pain Services PA Anesthesiology Past Accepting new patients

Locations

3800 Johnson St
Ste D
Hollywood, FL 33021
Phone (954) 237-3000

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355

2438 Martin Luther King St N
Ste C
St Petersburg, FL 33704
Phone (727) 543-9204

4650 4th St N
St Petersburg, FL 33703
Phone (727) 347-1286

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1104962646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 FAIT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244031",
            "telephone_number": "443-904-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY BLDG STE 226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3206 Fait Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212244031",
            "country_code": "US",
            "telephone_number": "443-904-7397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANUNZIATA",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "V0375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.