Individual provider Active NPI

Emmanuel Kanjo, CRNA

  • Certified Registered Nurse Anesthetist
  • Gaithersburg, MD
National Provider Identifier
1689905903
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN67916 Issued in DC
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

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
031353000MedicaidMD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100511000576 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032247119 Reassigns benefits to 1 organization
I20110602000427 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032247119 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Surgical Anesthesia Associates PLLCGroup PAC ID 5890739205, 86 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

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 Hospital, Baltimore, MD, CCN 210029
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
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

LicenseStateTypeSpecialty
R128473MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 1, 2018 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Johns Hopkins University CurrentSince Apr 15, 2010 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2010 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 1, 2018 Accepting new patients
Washington Hospital Center Corp CurrentSince Dec 15, 2012 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Jul 10, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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.

Verify at the official NPI Registry.