Individual provider Active NPI

Anisa Mertiri, CRNA

  • Certified Registered Nurse Anesthetist
  • Bronx, NY
National Provider Identifier
1386049831
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
22 562843 Issued in NY
Practice address
1635 Radcliff Ave
Bronx, NY 10462-4014
Phone
(917) 238-8361
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 22 562843 NY Primary

Addresses

Primary practice location

1635 Radcliff Ave
Bronx, NY 10462-4014

Mailing address

1635 Radcliff Avenue
Bronx, NY 10462
Phone (917) 238-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170221002304 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951685809 Reassigns benefits to 4 organizations
I20250102000284 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951685809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians
MK Anesthesia Services PLLCGroup PAC ID 1557758307, 17 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

749 61St St
Brooklyn, NY 11220-5162
Phone (201) 767-4040

761 55TH St
FL 2
Brooklyn, NY 11220-3210
Phone (917) 880-0023

822 57TH St
Apt 1
Brooklyn, NY 11220-5196
Phone (917) 880-0023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13865CTMDDentist
22 562843NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Gi Center LLC CurrentSince Oct 6, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jan 14, 2017 Accepting new patients
Amsurg Stamford Anesthesia LLC CurrentSince Nov 23, 2024 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Oct 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jan 14, 2017 Accepting new patients
MK Anesthesia Services PLLC CurrentSince Jul 11, 2025 Accepting new patients

Locations

30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067

778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400

7 Southwoods Blvd
Ste 4
Albany, NY 12211

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

111 E 210th St
Bronx, NY 10467

749 61st St
Brooklyn, NY 11220
Phone (201) 767-4040

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

3808 Union St
Flushing, NY 11354
Phone (718) 362-6298

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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 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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1386049831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 RADCLIFF AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "917-238-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 RADCLIFF AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624014",
            "telephone_number": "917-238-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTIRI",
        "first_name": "ANISA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "22 562843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.