Active NPI
Emmanuel Kanjo, CRNA
- Certified Registered Nurse Anesthetist
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN67916
- Practice address
- 137 Watkins Station Cir
Apt.F
Gaithersburg, MD 20879-3345 - Phone
- (301) 590-2633
- NPI assigned
- Jan 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R128473 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | RN67916 | DC | Primary |
Addresses
Primary practice location
137 Watkins Station Cir
Apt.F
Gaithersburg, MD 20879-3345
Mailing address
137 Watkins Station Cir
Apt.F
Gaithersburg, MD 20879-3345
Phone (301) 590-2633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031353000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
Hospital & facility affiliations
- Johns Hopkins Bayview Medical Center
- Medstar Washington Hospital Center
- Sibley Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R128473 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Surgical Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Washington Hospital Center Corp | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
600 N Wolfe St
Baltimore, MD 21287
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
Interoperability endpoints
- ekanjo140088@direct.hopkinsmedicine.org
Organizations & group practices 12
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Anesthesiology Physician
- Washington, DC
- NPI 1811930647
-
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1144201773
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1578302055
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Anesthesiology Physician
- Washington, DC
- NPI 1265452635
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1689905903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 WATKINS STATION CIR",
"address_2": "APT.F",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793345",
"telephone_number": "301-590-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 WATKINS STATION CIR",
"address_2": "APT.F",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793345",
"telephone_number": "301-590-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANJO",
"first_name": "EMMANUEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-26",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R128473",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "RN67916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031353000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.