NPIMap

Organization Active NPI

Maryland Anesthesia & Pain Management Services, PC

  • Anesthesiology Physician
  • La Plata, MD
National Provider Identifier
1245072834
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MARYLAND ANESTHESIA & PAIN MANAGEMENT SERVICES, PC
Practice address
5 N la Plata CT Ste 201
La Plata, MD 20646-5208
Phone
(301) 609-4974
NPI assigned
Jun 12, 2024
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARYLAND ANESTHESIA & PAIN MANAGEMENT SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Nag Birudavol, M.D.
Title
Ownder / President
Phone
(865) 693-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

5 N la Plata CT Ste 201
La Plata, MD 20646-5208

Mailing address

265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053
Phone (865) 693-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140224000069 MD Part B Supplier - Clinic/Group Practice 7719117530 Receives reassigned benefits from 75 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bel Air, MD; La Plata, MD; Havre de Grace, MD

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Maryland Anes Pain MGMT SV3 organizations share this tax ID, including this one
Part of
Maryland Anes Pain MGMT SV

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1245072834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194053",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N LA PLATA CT STE 201",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465208",
            "telephone_number": "301-609-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ANESTHESIA & PAIN MANAGEMENT SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND ANESTHESIA & PAIN MANAGEMENT SERVICES, PC",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "BIRUDAVOL",
        "authorized_official_first_name": "NAG",
        "authorized_official_title_or_position": "OWNDER / PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.

Verify at the official NPI Registry.