Individual provider Active NPI

Shehzin Mozammel Palad, MS, CRNA

  • Certified Registered Nurse Anesthetist
  • Reisterstown, MD
National Provider Identifier
1679931430
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R191732 Issued in MD
Practice address
9 Hunting Horn CT
Reisterstown, MD 21136-5300
Phone
(443) 538-5211
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R191732 MD
Certified Registered Nurse Anesthetist 367500000X R191732 MD Primary

Addresses

Primary practice location

9 Hunting Horn CT
Reisterstown, MD 21136-5300

Mailing address

9 Hunting Horn CT
Reisterstown, MD 21136-5300
Phone (443) 538-5211

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160428001691 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567761349 Reassigns benefits to 3 organizations
I20220928001991 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567761349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Calvert Anesthesiology Services LLCGroup PAC ID 8921309980, 62 clinicians

Practice addresses (Care Compare)

345 Saint Paul St
Baltimore, MD 21202-2123
Phone (410) 332-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 11, 2016 Accepting new patients
North Calvert Anesthesiology Services LLC CurrentSince Feb 3, 2020 Accepting new patients
Maryland Expresscare LLC CurrentSince Apr 11, 2016 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 16, 2022 Accepting new patients

Locations

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

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

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 4

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.

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1679931430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HUNTING HORN CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365300",
            "telephone_number": "443-538-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HUNTING HORN CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365300",
            "telephone_number": "443-538-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAMMEL PALAD",
        "first_name": "SHEHZIN",
        "credential": "MS, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R191732",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R191732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.