Individual provider Active NPI

Ian Biblanias Mores, CRNA

  • Certified Registered Nurse Anesthetist
  • Rosedale, MD
National Provider Identifier
1720470800
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R163797 Issued in MD
Practice address
4706 Stellabrooke LN
Rosedale, MD 21237-3744
Phone
(443) 625-9790
NPI assigned
Feb 25, 2015
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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 R163797 MD Primary

Addresses

Primary practice location

4706 Stellabrooke LN
Rosedale, MD 21237-3744

Mailing address

4706 Stellabrooke LN
Rosedale, MD 21237-3744
Phone (443) 625-9790

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150427001460 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325367220 Reassigns benefits to 7 organizations
I20221025001685 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325367220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GBMC Hospital Based Services LLCGroup PAC ID 6002299369, 46 clinicians

Practice addresses (Care Compare)

6401 N Charles St
RM 4226
Baltimore, MD 21212-1016
Phone (443) 849-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R163797MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2024 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Apr 1, 2021 Accepting new patients
Maryland Expresscare LLC CurrentSince Mar 25, 2015 Accepting new patients
Maryland Endoscopy Anesthesia LLC CurrentSince Jul 26, 2022 Accepting new patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered Current Accepting new patients
University of Maryland Medical Center, LLC CurrentSince Mar 25, 2015 Accepting new patients
GBMC Hospital Based Services, LLC. CurrentSince Mar 1, 2023 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

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

2401 W Belvedere Ave
Baltimore, MD 21215

2700 Quarry Lake Dr
Ste 100
Baltimore, MD 21209
Phone (410) 653-0077

6401 N Charles St
Rm 4226
Baltimore, MD 21212
Phone (443) 849-2121

701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

100 West Rd
Ste 115
Towson, MD 21204
Phone (410) 494-0144

6701 N Charles St
#4226
Towson, MD 21204
Phone (410) 296-4616

Organizations & group practices 9

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 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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1720470800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 STELLABROOKE LN",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373744",
            "telephone_number": "443-625-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 STELLABROOKE LN",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373744",
            "telephone_number": "443-625-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORES",
        "first_name": "IAN",
        "middle_name": "BIBLANIAS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R163797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.