Individual provider Active NPI

Ikay Kanayo Enu, MD

  • Anesthesiology Physician
  • Fairfax, VA
National Provider Identifier
1548429418
Registry record updated Jun 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101277980 Issued in VA
Practice address
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone
(703) 391-3600
Fax
(703) 391-3414
NPI assigned
Jun 5, 2008
Last updated
Jun 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 283706 NY
Anesthesiology Physician 207L00000X D0067749 MD
Anesthesiology Physician 207L00000X 0101277980 VA Primary

Addresses

Primary practice location

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Mailing address

22 S Greene St
Anesthesiology, S11C00
Baltimore, MD 21201-1544

Other practice location 1

22 S Greene St
Anesthesiology, S11C00
Baltimore, MD 21201-1544
Phone (410) 328-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NY, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20091023000478 MD Practitioner - AnesthesiologyPractitioner - Pain Management 5698836153 Reassigns benefits to 8 organizations
I20140920000083 DC Practitioner - Anesthesiology 5698836153 Reassigns benefits to 6 organizations
I20221220002127 NY Practitioner - Anesthesiology 5698836153
I20230711000851 VA Practitioner - AnesthesiologyPractitioner - Pain Management 5698836153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
283706NYMDLicensed Practical Nurse
D0067749MDMDAnesthesiology Physician
0101277980VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Anesthesia Services LLC Anesthesiology CurrentSince Mar 24, 2016 Accepting new patients
Cumberland Anesthesia Ams LLC Anesthesiology CurrentSince Dec 13, 2022 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince May 7, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Apr 29, 2024 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Sep 3, 2017 Accepting new patients
Meritus Medical Center Inc CurrentSince Apr 8, 2024 Accepting new patients
Francu One LLC CurrentSince Jan 1, 2023 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Maryland Anesthesia & Pain Management Services, PC Anesthesiology CurrentSince Apr 26, 2023 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince May 7, 2023 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Dec 1, 2017 Accepting new patients
Northstar Anesthesia of Maryland LLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Dec 1, 2017 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Meritus Medical Center Inc Anesthesiology CurrentSince Apr 8, 2024 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 11, 2017 Accepting new patients
Inova Cares - Community Anesthesiology CurrentSince Jun 12, 2023 Accepting new patients
Maryland Anesthesia & Pain Management Services, P.C. Anesthesiology Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Apr 29, 2024 Accepting new patients

Locations (25 of 27)

626C Admiral Dr
#324
Annapolis, MD 21401

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

9001 Woodyard Rd
Ste B
Clinton, MD 20735
Phone (301) 868-4950

12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185

12252 Williams Rd SE
Ste 103
Cumberland, MD 21502
Phone (240) 522-0185

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

308 Hospital Dr
Ste 102
Glen Burnie, MD 21061
Phone (410) 760-8100

11110 Medical Campus Rd
Ste 248
Hagerstown, MD 21742
Phone (240) 313-9800

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

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

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

70 Sherry Ln
Prince Frederick, MD 20678
Phone (443) 486-4230

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

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

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

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

7 Southwoods Blvd
Ste 4
Albany, NY 12211

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

Interoperability endpoints

  • Direct secure messaging: ienu21126@direct.umm.edu

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 1

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1548429418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "ANESTHESIOLOGY, S11C00",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3600",
            "fax_number": "703-391-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "Anesthesiology, S11C00",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENU",
        "first_name": "IKAY",
        "middle_name": "KANAYO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "283706",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0067749",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101277980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.