Individual provider Active NPI

Mariyam Ibironke Popoola, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Cheverly, MD
National Provider Identifier
1952928905
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R199351 Issued in MD
Practice address
3001 Hospital Dr
Cheverly, MD 20785-1189
Phone
(301) 618-6100
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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 R199351 MD Primary

Addresses

Primary practice location

3001 Hospital Dr
Cheverly, MD 20785-1189

Mailing address

3001 Hospital Dr
Cheverly, MD 20785-1189
Phone (301) 618-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200717001417 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476977851 Reassigns benefits to 4 organizations
I20220217000402 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476977851 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

6201 Greenleigh Ave
Middle River, MD 21220-2004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199351MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Anesthesiology Associate PA CurrentSince Sep 1, 2022 Accepting new patients
Johns Hopkins University Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
Johns Hopkins University CurrentSince Aug 15, 2025 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Jun 13, 2020 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 4, 2022 Accepting new patients
Johns Hopkins University Current Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 16, 2022 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 4, 2022 Accepting new patients

Locations

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

600 N Wolfe St
Baltimore, MD 21287

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

10700 Charter Dr
Ste 301
Columbia, MD 21044
Phone (410) 730-0099

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

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

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

11400 Rockville Pike
Ste C25
Rockville, MD 20852
Phone (301) 761-4760

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: mpopoola1394474@direct.hopkinsmedicine.org
  • Direct secure messaging: mpopoola563973@direct.umm.edu

Organizations & group practices 8

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 5

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1952928905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOOLA",
        "first_name": "MARIYAM",
        "middle_name": "IBIRONKE",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R199351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.