Individual provider Active NPI

Anaida Badalyan

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1366048399
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN617974 Issued in PA
Practice address
1922 Tomlinson Rd
Philadelphia, PA 19116-3811
Phone
(215) 715-7995
NPI assigned
Dec 6, 2020
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN617974 PA Primary
Registered Nurse 163W00000X RN617974 PA

Addresses

Primary practice location

1922 Tomlinson Rd
Philadelphia, PA 19116-3811

Mailing address

1922 Tomlinson Rd
Philadelphia, PA 19116-3811
Phone (215) 715-7995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511000103 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921417635 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Jefferson Medical College of Thomas Jefferson University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Northstar Anesthesia of Pennsylvania LLCGroup PAC ID 5092941161, 65 clinicians

Practice addresses (Care Compare)

111 S 11TH St
6TH FLR Suite 6350
Philadelphia, PA 19107-5098
Phone (215) 955-8830

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2000

1500 Lansdowne Ave
Darby, PA 19023-1291
Phone (610) 237-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN617974PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Current Accepting new patients
United Anesthesia Services PC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 22, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 22, 2025 Accepting new patients
Jefferson University Physicians CurrentSince Feb 5, 2021 Accepting new patients
Methodist Associates in Healthcare, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2021 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 20, 2021 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

111 S 11th St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6200

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

1403 Rhawn St
Philadelphia, PA 19111
Phone (215) 332-8100

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

900 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Organizations & group practices 8

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 2

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": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1366048399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 TOMLINSON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163811",
            "telephone_number": "215-715-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 TOMLINSON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163811",
            "telephone_number": "215-715-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADALYAN",
        "first_name": "ANAIDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN617974",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN617974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.