Active NPI
Joseph Edward Pellegrini, CRNA
- Certified Registered Nurse Anesthetist
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R152123
- Practice address
- 8901 Wisconsin Ave
Bethesda, MD 20889-0001 - Phone
- (301) 319-8080
- Fax
- (301) 295-0827
- NPI assigned
- Aug 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R152123 | MD | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Mailing address
10426 Popkins CT
Woodstock, MD 21163-1316
Phone (410) 750-3177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3048
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R152123 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Agnes Healthcare, Inc. | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| St. Agnes Healthcare, Inc. | Current | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1003079799
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
-
- Ambulatory Surgical Clinic/Center
- Columbia, MD
- NPI 1548562119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407857246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10426 POPKINS CT",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "211631316",
"telephone_number": "410-750-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-319-8080",
"fax_number": "301-295-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRINI",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R152123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.