Individual provider Active NPI

Pei-Yu Katherine Watts, CRNA

  • Certified Registered Nurse Anesthetist
  • Ellicott City, MD
National Provider Identifier
1508155730
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN179735 Issued in MD
Practice address
4678 Yorkshire Dr
Ellicott City, MD 21043-6504
Phone
(267) 303-0425
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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 RN179735 MD Primary

Addresses

Primary practice location

4678 Yorkshire Dr
Ellicott City, MD 21043-6504

Mailing address

4678 Yorkshire Dr
Ellicott City, MD 21043-6504
Phone (267) 303-0425

Other practice location 1

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8000

Other names 1

  • Peiyu Katherine Wang Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110502000653 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860677176 Reassigns benefits to 6 organizations
I20140206000537 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860677176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians
Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

11210 Old Georgetown Rd
Rockville, MD 20852-3202
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782

800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270

8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN179735MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Care, LLC CurrentSince Dec 1, 2013 Accepting new patients
Lifebridge Community Gastroenterology, LLC CurrentSince Mar 31, 2018 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Jul 1, 2016 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2014 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2022 Accepting new patients
Anesthesia Solutions, LLC CurrentSince Sep 1, 2018 Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered PastSince Apr 17, 2022 Accepting new patients
Dr Wendy Kloesz, M.D., P.a Past Accepting new patients

Locations

1 University Ave
Ste 104
Westwood, MA 02090

621 Ridgely Ave
Ste 101
Annapolis, MD 21401
Phone (410) 224-3636

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2401 W Belvedere Ave
Baltimore, MD 21215

600 N Wolfe St
Baltimore, MD 21287

700 Geipe Rd
Ste 230
Catonsville, MD 21228

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

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

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

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

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

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

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

19 Fontana Ln
Ste 104
Rosedale, MD 21237
Phone (410) 574-7776

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

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

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

1300 Mercantile Ln
Ste 190
Uppr Marlboro, MD 20774
Phone (301) 773-3305

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

Interoperability endpoints

  • Direct secure messaging: pwang195845@direct.hopkinsmedicine.org

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.

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1508155730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 YORKSHIRE DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436504",
            "telephone_number": "267-303-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 YORKSHIRE DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436504",
            "telephone_number": "267-303-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212014606",
            "country_code": "US",
            "telephone_number": "410-225-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "PEI-YU",
        "middle_name": "KATHERINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "RN179735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEIYU",
            "last_name": "WANG",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.