Individual provider Active NPI

Danielle Ott, CRNA

  • Certified Registered Nurse Anesthetist
  • Bel Air, MD
National Provider Identifier
1366909699
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
676976 Issued in NY
Practice address
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone
(443) 643-1000
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 676976 NY Primary
Registered Nurse 163W00000X 676976-1 NY

Addresses

Primary practice location

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Mailing address

2330 Fleet St
Baltimore, MD 21224-3624
Phone (516) 312-8365

Other names 1

  • Danielle Goeren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190712000078 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163757105
I20200909000349 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163757105 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians
Bel Air Sedation LLCGroup PAC ID 7416142831, 4 clinicians
Maryland Anesthesia and Pain Management Services PCGroup PAC ID 7719117530, 42 clinicians

Practice addresses (Care Compare)

1220 E Joppa Rd
Suite 508
Towson, MD 21286-5811
Phone (410) 296-4415

2214 Old Emmorton Rd
Suite 100
Bel Air, MD 21015-6471
Phone (410) 893-3959

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
676976-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Maryland LLC CurrentSince Mar 29, 2021 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince May 28, 2019 Accepting new patients
Maryland Anesthesia & Pain Management Services, PC Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2022 Accepting new patients
Maryland Anesthesia & Pain Management Services, P.C. Nurse Anesthetist, Certified Registered Current Accepting new patients
Digestive Disease Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
Surgical Anesthesia Associates, PLLC Past Accepting new patients

Locations

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

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

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5 N La Plata Ct
Ste 201
La Plata, MD 20646
Phone (301) 609-4000

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

6701 N Charles St
#4226
Towson, MD 21204
Phone (410) 296-4616

1220 E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

300 Community Dr
Plandome, NY 11030

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 and National Provider Directory roles.

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1366909699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 FLEET ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243624",
            "telephone_number": "516-312-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "DANIELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "676976",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "676976-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "GOEREN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.