Individual provider Active NPI

Maria J Khanuja, CRNP

  • Nurse Practitioner
  • Reisterstown, MD
National Provider Identifier
1134493612
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R150795 Issued in MD
Practice address
750 Main St
Suite 205
Reisterstown, MD 21136-2515
Phone
(410) 526-7800
Fax
(410) 526-4534
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R150795 MD Primary

Addresses

Primary practice location

750 Main St
Suite 205
Reisterstown, MD 21136-2515

Mailing address

750 Main St
Suite 205
Reisterstown, MD 21136-2515
Phone (410) 526-7800

Other names 1

  • Maria Loor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120501000260 MD Practitioner - Nurse Practitioner 1254593627 Reassigns benefits to 2 organizations
I20160421000468 DC Practitioner - Nurse Practitioner 1254593627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Medical System, Inc.Group PAC ID 5395653455, shared by 8 NPIs, 86 clinicians

Practice addresses (Care Compare)

5525 Eastern Ave
Baltimore, MD 21224-2796
Phone (410) 558-4804

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Apr 4, 2016 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Apr 4, 2016 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Apr 4, 2016 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

Interoperability endpoints

  • Direct secure messaging: mkhanuja262663@direct.hopkinsmedicine.org

Organizations & group practices 5

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.

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1134493612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 205",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-7800",
            "fax_number": "410-526-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 205",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-7800",
            "fax_number": "410-526-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANUJA",
        "first_name": "MARIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R150795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LOOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.