Active NPI
Gabriel Restrepo, CRNA
- Certified Registered Nurse Anesthetist
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R197720
- Practice address
- 100 E Carroll Street
Salisbury, MD 21801 - Phone
- (410) 543-7375
- NPI assigned
- Feb 6, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R197720 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024175213 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | R197720 | MD | Primary |
Addresses
Primary practice location
100 E Carroll Street
Salisbury, MD 21801
Mailing address
1613 N. Harrison Parkway
Suite 200, Mailstop SH-9a
Sunrise, FL 33323-2896
Phone (954) 838-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950
200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (804) 765-5000
Hospital & facility affiliations
- Bon Secours Southside Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R197720 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| CMH Physician Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| CMH Physician Services, LLC | Current | Accepting new patients |
Locations
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273
1755 N Mecklenburg Ave
South Hill, VA 23950
Phone (434) 584-5412
125 Buena Vista Cir
South Hill, VA 23970
Phone (434) 774-2400
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Petersburg, VA
- NPI 1720623853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1831513175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N. HARRISON PARKWAY",
"address_2": "SUITE 200, MAILSTOP SH-9A",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232896",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL STREET",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-543-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTREPO",
"first_name": "GABRIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-06",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R197720",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024175213",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R197720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.