Individual provider Active NPI

Angela Igboko, CRNA

  • Certified Registered Nurse Anesthetist
  • Silver Spring, MD
National Provider Identifier
1144097361
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R226627 Issued in MD
Practice address
11890 Healing Way
Silver Spring, MD 20904-7917
Phone
(240) 637-4000
NPI assigned
Dec 7, 2023
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R226627 MD Primary

Addresses

Primary practice location

11890 Healing Way
Silver Spring, MD 20904-7917

Mailing address

305 Old Frederick Mews
Baltimore, MD 21229-2494
Phone (202) 527-8806

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240128000043 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870946627 Reassigns benefits to 3 organizations
I20240128000080 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870946627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 120
Columbia, MD 21044-3258
Phone (410) 772-7345

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates, LLC CurrentSince Feb 1, 2026 Accepting new patients
Columbia Outpatient Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Olney Endoscopy Center PastSince Feb 1, 2026 Accepting new patients

Locations

1419 Forest Dr
Ste 105
Annapolis, MD 21403

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

10710 Charter Dr
Ste 120
Columbia, MD 21044
Phone (410) 772-7345

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

3407 Olandwood Ct
Unit 103
Olney, MD 20832
Phone (301) 570-8671

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

Organizations & group practices 4

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.

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1144097361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OLD FREDERICK MEWS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292494",
            "telephone_number": "202-527-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 HEALING WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047917",
            "telephone_number": "240-637-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBOKO",
        "first_name": "ANGELA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R226627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.