Active NPI
Stephen Olomukoro
- Certified Registered Nurse Anesthetist
- Randallstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R152983
- Practice address
- 5401 Old Court Rd
Randallstown, MD 21133-5103 - Phone
- (410) 521-2200
- NPI assigned
- Dec 16, 2009
- Last updated
- Apr 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R152983 | MD | Primary |
| Registered Nurse | 163W00000X | R152983 | MD |
Addresses
Primary practice location
5401 Old Court Rd
Randallstown, MD 21133-5103
Mailing address
11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax, VA 22033-3309
Phone (571) 777-5157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030075600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Johns Hopkins University | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| North American Partners in Anesthesia (Virginia), LLC | Past | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
4940 Eastern Ave
Baltimore, MD 21224
600 N Wolfe St
Baltimore, MD 21287
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Interoperability endpoints
- solomukoro36695@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
dba Jhu - Anesthesia/Crna's
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1144201773
Nurse Anesthetist, Certified Registered
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Meritus Palliative Care
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1306175633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "SUITE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5157",
"fax_number": "703-890-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 OLD COURT RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211335103",
"telephone_number": "410-521-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLOMUKORO",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-16",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R152983",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R152983",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030075600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.