Organization Active NPI

Apex Anesthesia LLC

  • Anesthesiology Physician
  • Timonium, MD
National Provider Identifier
1891390944
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
APEX ANESTHESIA LLC
Practice address
1300 York Rd Ste 200
Timonium, MD 21093-6090
Phone
(667) 206-2343
NPI assigned
Dec 4, 2020
Last updated
Dec 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Dr. William Su, MDNPI 1972647212
Title
Owner
Phone
(410) 960-2686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1300 York Rd Ste 200
Timonium, MD 21093-6090

Mailing address

4132 E Joppa Rd
Ste 110 #1151
Baltimore, MD 21236
Phone (410) 960-2686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210001408 MD Part B Supplier - Clinic/Group Practice 7911319249 Receives reassigned benefits from 1 practitioner
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1891390944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 E JOPPA RD",
            "address_2": "STE 110 #1151",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-960-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 200",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936090",
            "telephone_number": "667-206-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-960-2686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.