Individual provider Active NPI

Shusma Karki, CRNP

  • Family Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1679022370
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R167601 Issued in MD
Practice address
4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277
Phone
(410) 869-0100
Fax
(410) 601-7317
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R167601 MD Primary

Addresses

Primary practice location

4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277

Mailing address

4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277
Phone (410) 869-0100

Other practice location 1

1235 E Monument St
Baltimore, MD 21202-5327
Phone (410) 327-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220000171 MD Practitioner - Nurse Practitioner 0042591679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4 W Rolling Crossroads
Suite 100
Catonsville, MD 21228-6280
Phone (410) 869-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R167601MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc CurrentSince Sep 1, 2021 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Sep 1, 2021 Accepting new patients
Hollis Seunarine Mdpa LLC CurrentSince Oct 10, 2016 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients

Locations

5010 York Rd
Baltimore, MD 21212
Phone (410) 433-2200

1235 E Monument St
Baltimore, MD 21202
Phone (410) 327-5100

4 W Rolling Cross Rd
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100

4 W Rolling Xrds
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1679022370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W ROLLING XRDS STE 100",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286277",
            "telephone_number": "410-869-0100",
            "fax_number": "410-601-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W ROLLING XRDS STE 100",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286277",
            "telephone_number": "410-869-0100",
            "fax_number": "410-601-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 E Monument St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212025327",
            "country_code": "US",
            "telephone_number": "410-327-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARKI",
        "first_name": "SHUSMA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R167601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.