Individual provider Active NPI

Anteneh Belachew

  • Certified Registered Nurse Anesthetist
  • Silver Spring, MD
National Provider Identifier
1497108096
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R221844 Issued in MD
Practice address
11200 Lockwood Dr Apt 220
Silver Spring, MD 20901-4525
Phone
(855) 633-0231
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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 R221844 MD Primary

Addresses

Primary practice location

11200 Lockwood Dr Apt 220
Silver Spring, MD 20901-4525

Mailing address

11200 Lockwood Dr Apt 220
Silver Spring, MD 20901-4525

Other names 1

  • Anteneh Belachew Professional name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160923000098 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294022976 Reassigns benefits to 4 organizations
I20250411000562 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294022976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Medical Management CorpGroup PAC ID 5799193074, 27 clinicians
Northstar Anesthesia of Maryland LLCGroup PAC ID 4284085796, 28 clinicians

Practice addresses (Care Compare)

4155 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone (301) 277-1545

5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
81.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R221844MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Northstar Anesthesia of Maryland LLC CurrentSince Oct 1, 2023 Accepting new patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jul 1, 2018 Accepting new patients
Maryland Anesthesia & Pain Management Services, PC Nurse Anesthetist, Certified Registered CurrentSince Jul 9, 2018 Accepting new patients
Maryland Anesthesia & Pain Management Services, P.C. Nurse Anesthetist, Certified Registered Current Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jul 1, 2018 Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients

Locations

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

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

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

4155 Bladensburg Rd
Colmar Manor, MD 20722
Phone (301) 277-1545

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

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

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

Interoperability endpoints

  • Direct secure messaging: abelachew547906@direct.umm.edu

Organizations & group practices 9

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1497108096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 LOCKWOOD DR APT 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LOCKWOOD DR APT 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014525",
            "telephone_number": "855-633-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELACHEW",
        "first_name": "ANTENEH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R221844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTENEH",
            "last_name": "BELACHEW",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.