NPIMap

Organization Active NPI

University of Maryland Medical System Corporation

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1508807355
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-6704
Fax
(410) 328-4124
NPI assigned
Jun 10, 2006
Reactivated
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Denise Ouadda
Title
Director of Professional Fees
Phone
(410) 328-6566

Specialties & licenses 1

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

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64795
Baltimore, MD 21264-4795
Phone (410) 328-6704

Other names 1

  • CRNA/University of Maryland Medical System Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427000918 MD Part B Supplier - Clinic/Group Practice 7113914771 Receives reassigned benefits from 148 practitioners
3 other NPIs on this enrollment
Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Med Systems Corp - Harambee16 organizations share this tax ID, including this one
Part of
University of Maryland Med Systems Corp - Harambee

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shore Health System IncEaston, MD, CCN 210037 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2006
University of Maryland Baltimore Washington Medical CenterGlen Burnie, MD, CCN 210043 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2000
University of Maryland Shore Medical Center at ChestertownChestertown, MD, CCN 210030 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2022
University of Maryland Medical Center Midtown CampusBaltimore, MD, CCN 210038 Hospital 5% Or Greater Direct Ownership Interest Feb 1, 2014
University of Maryland Rehabilitation and Orthopaedic InstituteBaltimore, MD, CCN 210058 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 9, 2008
Jan 9, 2008
University of Maryland Capital Region Medical CenterUpper Marlboro, MD, CCN 210003 Hospital 5% Or Greater Direct Ownership Interest Sep 1, 2017
Civista Medical Center IncLa Plata, MD, CCN 210035 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Other		 Jun 27, 2011
Jun 27, 2011
Mt Washington Physicians GroupBaltimore, MD, CCN 213300 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 2006
University of Maryland St Joseph Medical CenterTowson, MD, CCN 210063 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Other		 Nov 1, 2012
Nov 1, 2012
Rehabilitation Hospital of BowieBowie, MD, CCN 213030 Hospital 5% Or Greater Indirect Ownership Interest (50%) Jul 1, 2023
University of Maryland Medical CenterBaltimore, MD, CCN 210002 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 3, 2014

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Practitioners & affiliated clinicians

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1508807355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64795",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644795",
            "telephone_number": "410-328-6704",
            "fax_number": "410-328-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-6704",
            "fax_number": "410-328-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-07-07",
        "deactivation_date": "2008-09-05",
        "reactivation_date": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "OUADDA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR OF PROFESSIONAL FEES",
        "authorized_official_telephone_number": "410-328-6566"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA/University of Maryland Medical System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.