Individual provider Active NPI

Maryam Beklik, CRNA

  • Certified Registered Nurse Anesthetist
  • Cockeysville, MD
National Provider Identifier
1679825384
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R124129 Issued in MD
Practice address
30 Sugar Tree PL
Cockeysville, MD 21030-3140
Phone
(405) 593-1092
NPI assigned
Oct 4, 2012
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R124129 MD Primary

Addresses

Primary practice location

30 Sugar Tree PL
Cockeysville, MD 21030-3140

Mailing address

30 Sugar Tree PL
Cockeysville, MD 21030-3140
Phone (405) 593-1092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000453 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022260629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2014 Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1679825384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SUGAR TREE PL",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303140",
            "telephone_number": "405-593-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SUGAR TREE PL",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303140",
            "telephone_number": "405-593-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKLIK",
        "first_name": "MARYAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R124129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.