NPIMap

Organization Active NPI

Anesthesia Perioperative Services, LLC

  • Anesthesiology Physician
  • Towson, MD
National Provider Identifier
1508810953
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0021774 Issued in MD
Legal business name
ANESTHESIA PERIOPERATIVE SERVICES, LLC
Practice address
110 West Rd
Suite 229
Towson, MD 21204-2316
Phone
(410) 825-3131
NPI assigned
May 20, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Peter Mulaikal, M.D.NPI 1447232004
Title
President
Phone
(410) 825-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0021774 MD Primary

Addresses

Primary practice location

110 West Rd
Suite 229
Towson, MD 21204-2316

Mailing address

PO Box 303
Stevenson, MD 21153-0303
Phone (410) 819-0710

Other identifiers 3

IdentifierTypeStateIssuer
364MOtherMDMEDICARE GROUP
DA3696OtherMDRR MEDICARE
20620200000MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000969 MD Part B Supplier - Clinic/Group Practice 9032007455 Receives reassigned benefits from 4 practitioners
Practice locations: Lutherville, MD; Westminster, MD; Towson, MD; Owings Mills, MD; Cockeysville, MD; Baltimore, MD

National Provider Directory

National Provider Directory

Locations

10 Warren Rd
Ste 330
Cockeysville, MD 21030
Phone (410) 666-5225

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1508810953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530303",
            "telephone_number": "410-819-0710",
            "fax_number": "410-819-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST RD",
            "address_2": "SUITE 229",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042316",
            "telephone_number": "410-825-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA PERIOPERATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MULAIKAL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-825-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0021774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "364M",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA3696",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20620200000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.