Thea Koltz

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R184684 Issued in MD

Practice address

202 Meridian LN
Towson, MD 21286-5205

Phone

(443) 413-1904

NPI assigned

Feb 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Thea Epple Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

University of Maryland Anesthesiology Associates PAGroup PAC ID 8022905306, 136 clinicians

University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score

87.09 of 100Reported as group

Quality

79.06

Promoting interoperability

100

Improvement activities

40

Cost

77.9

Merit-based Incentive Payment System (MIPS)

Final score

63.85 of 100Reported as group

Quality

57.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tepple227963@direct.umm.edu

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.

• Digestive Disease Associates, LLC

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1407400955
  Medicare reassignment Care Compare group NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment Care Compare group NPD
• University of Maryland Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1720024235
  Medicare reassignment Care Compare group NPD
• University of Maryland St. Joseph Medical Group, LLC

  dba University of Maryland St. Joseph Medical Group

  • General Practice Physician
  • Towson, MD
  • NPI 1770836785
  Medicare reassignment Care Compare group NPD
• First Colonies Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Columbia, MD
  • NPI 1740218767

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Maryland Endoscopy Anesthesia LLC

  • Anesthesiology Physician
  • Towson, MD
  • NPI 1366818411
  Medicare reassignment NPD
• University of Maryland Medical System Corporation

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
  • NPI 1508807355

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Maryland Expresscare LLC

  dba Maryland ExpressCare

  • Land Ambulance
  • Baltimore, MD
  • NPI 1134835911
  NPD
• Parkville Anesthesia, LLC

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1235579764

  Nurse Anesthetist, Certified Registered

  NPD
• University of Maryland St. Joseph Medical Group, LLC

  • Surgical Assistant
  • Towson, MD
  • NPI 1053816074
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Maryland St. Joseph Medical Center, LLC

  dba University of Maryland St. Joseph Medical Center

  • General Acute Care Hospital
  • Towson, MD
  • NPI 1124374079
  Care Compare affiliation

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1215328521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MERIDIAN LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865205",
            "telephone_number": "443-413-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MERIDIAN LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865205",
            "telephone_number": "443-413-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTZ",
        "first_name": "THEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R184684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEA",
            "last_name": "EPPLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Marie Kogelschatz, LCSW-C
• Amy Kathern Kollar, LCPC
• Steve Koller, M.D.
• Kolmac Clinic, LLC (Kolmac Outpatient Recovery Centers)
• Christopher R Koltz, MD
• Mark Stephen Komrad, MD
• Karen E Konkel, M.D.
• Kara L Koppanyi, LCSW-C
• Walter B. Koppel, M.D.
• Claudia L Kordonski, BSN, RN

• Certified Registered Nurse Anesthetist in Towson, MD
• Providers in Towson, MD by specialty
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.