Individual provider Active NPI

Suzanne A Yaras, CRNA

  • Certified Registered Nurse Anesthetist
  • Waldorf, MD
National Provider Identifier
1609885672
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R100077 Issued in MD
Practice address
12070 Old Line Ctr Ste 205
Waldorf, MD 20602-2567
Phone
(301) 659-0003
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R100077 MD
Certified Registered Nurse Anesthetist 367500000X R100077 MD Primary

Addresses

Primary practice location

12070 Old Line Ctr Ste 205
Waldorf, MD 20602-2567

Mailing address

12070 Old Line Ctr Ste 205
Waldorf, MD 20602-2567
Phone (301) 659-0003

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190403001464 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658370150 Reassigns benefits to 2 organizations
I20210316001762 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658370150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians

Practice addresses (Care Compare)

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Pain & Regenerative Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Synergy Spine and Pain Center, LLC CurrentSince Mar 1, 2021 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 7, 2017 Accepting new patients
Home Physicians Baltimore, PC Past Accepting new patients

Locations

12150 Annapolis Rd
Ste 209
Glenn Dale, MD 20769
Phone (240) 929-6652

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

12070 Old Line Ctr
Ste 205
Waldorf, MD 20602
Phone (240) 629-3955

3500 Old Washington Rd
Ste 202
Waldorf, MD 20602
Phone (301) 659-0003

3930 Pender Dr
Ste 120
Fairfax, VA 22030
Phone (703) 255-2339

2296 Opitz Blvd
Ste 110120
Woodbridge, VA 22191
Phone (240) 366-2203

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1609885672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022567",
            "telephone_number": "301-659-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022567",
            "telephone_number": "301-659-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARAS",
        "first_name": "SUZANNE",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "R100077",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R100077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.