Individual provider Active NPI

Rupa I. Meshram, CRNA

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1487927869
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R173212 Issued in MD
Practice address
4940 Eastern Ave # A5W-588
Baltimore, MD 21224-2735
Phone
(410) 550-0942
Fax
(410) 550-0443
NPI assigned
Feb 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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 R173212 MD Primary

Addresses

Primary practice location

4940 Eastern Ave # A5W-588
Baltimore, MD 21224-2735

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120522001112 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022271493 Reassigns benefits to 5 organizations
I20150220001063 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022271493 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Anesthesia Consultants LLCGroup PAC ID 7416343728, 15 clinicians
Dominion Anesthesia PLLCGroup PAC ID 7618863713, 73 clinicians

Practice addresses (Care Compare)

15001 Shady Grove Rd
Suite 400
Rockville, MD 20850-6320
Phone (215) 589-9024

1701 N George Mason Dr
Virginia Hospital Center
Arlington, VA 22205-3610
Phone (703) 558-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R173212MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2018 Accepting new patients
Johns Hopkins University CurrentSince Dec 5, 2018 Accepting new patients
Maryland Expresscare LLC CurrentSince Feb 15, 2018 Accepting new patients
Montgomery Anesthesia Care, LLC CurrentSince Jan 26, 2026 Accepting new patients
University of Maryland Anesthesiology Associates, P.a. CurrentSince May 1, 2018 Accepting new patients
Visurraga Enterprises LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Dominion Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Columbia Outpatient Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince May 12, 2018 Accepting new patients
Potomac Anesthesia Consultants LLC CurrentSince Apr 15, 2025 Accepting new patients
Johns Hopkins University Nurse Anesthetist, Certified Registered CurrentSince Dec 5, 2018 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2020 Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

1 University Ave
Ste 104
Westwood, MA 02090

600 N Wolfe St
Baltimore, MD 21287

4940 Eastern Ave
#A5W588
Baltimore, MD 21224
Phone (410) 550-0942

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

15001 Shady Grove Rd
Ste 400
Rockville, MD 20850
Phone (301) 340-1188

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

15005 Shady Grove Rd
Ste 200
Rockville, MD 20850
Phone (301) 340-8099

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

8100 Boone Blvd
Ste 300
Vienna, VA 22182
Phone (301) 652-4828

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1487927869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE # A5W-588",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-0942",
            "fax_number": "410-550-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHRAM",
        "first_name": "RUPA",
        "middle_name": "I.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R173212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.