Active NPI
Koroma Anesthesia & Nursing Services, LLC
Doing business as Kans
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1134911324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KOROMA ANESTHESIA & NURSING SERVICES, LLC
- Doing business as
- Kans
- Practice address
- 1120 N Charles St Ste 400
Baltimore, MD 21201-5594 - Phone
- (442) 271-9907
- NPI assigned
- May 21, 2025
- Last updated
- May 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abu Koroma, PMHNP
- Title
- Ceo
- Phone
- (443) 271-9907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1120 N Charles St Ste 400
Baltimore, MD 21201-5594
Mailing address
111 E Market St Ste 201
York, PA 17401-1222
Phone (443) 271-9907
Other names 1
- KANS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1134911324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E MARKET ST STE 201",
"city": "YORK",
"state": "PA",
"postal_code": "174011222",
"telephone_number": "443-271-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST STE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015594",
"telephone_number": "442-271-9907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOROMA ANESTHESIA & NURSING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-21",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "KOROMA",
"authorized_official_first_name": "ABU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-271-9907",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KANS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.