NPIMap

Organization Active NPI

Upper Bay Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Elkton, MD
National Provider Identifier
1912330283
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
UPPER BAY ANESTHESIA, LLC
Practice address
103 Chesapeake Blvd Ste C
Elkton, MD 21921-6391
Phone
(443) 245-3470
NPI assigned
Aug 9, 2013
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
John CarlyleNPI 1558325357
Title
General Partner/Resident Agent
Phone
(443) 907-3089

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
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

103 Chesapeake Blvd Ste C
Elkton, MD 21921-6391

Mailing address

PO Box 190
Elkton, MD 21922-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131014000523 MD Part B Supplier - Clinic/Group Practice 3779717491 Receives reassigned benefits from 7 practitioners
Practice locations: Elkton, MD; Salisbury, MD
O20131015001766 DE Part B Supplier - Clinic/Group Practice 3779717491 Receives reassigned benefits from 9 practitioners
Practice locations: Dover, DE; Millsboro, DE; Rehoboth Beach, DE

National Provider Directory

National Provider Directory

Locations

1673 S State St
Dover, DE 19901
Phone (302) 450-3217

Practitioners & affiliated clinicians

Practitioners 11

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": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1912330283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE BLVD STE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216391",
            "telephone_number": "443-245-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER BAY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL PARTNER/RESIDENT  AGENT",
        "authorized_official_telephone_number": "443-907-3089"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.