Active NPI
Michael Osagede Imomoh
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R219198
- Practice address
- 201 E University Pkwy
Baltimore, MD 21218-2829 - Phone
- (410) 554-2626
- NPI assigned
- Mar 3, 2021
- Last updated
- Jun 24, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R219198 | MD | Primary |
Addresses
Primary practice location
201 E University Pkwy
Baltimore, MD 21218-2829
Mailing address
13219 Executive Park Ter
Germantown, MD 20874-2647
Phone (240) 898-5075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12500 Willowbrook Rd
Western Maryland Health System
Cumberland, MD 21502-6393
Phone (240) 964-7000
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000
3304 Guilford Ave
Baltimore, MD 21218-2829
Phone (410) 554-6740
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3800
Hospital & facility affiliations
- Western Maryland Regional Medical Center
- Medstar Union Memorial Hospital
- University of MD Capital Region Medical Center
- Holy Cross Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R219198 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sevox Medical Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Holy Cross Anesthesiology Associate PA | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Old Westminster Pike Anesthesia LLC | Current | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
810 Bestgate Rd
Ste 120
Annapolis, MD 21401
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
13219 Executive Park Ter
Germantown, MD 20874
Phone (240) 898-5075
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
11400 Rockville Pike
Ste C25
Rockville, MD 20852
Phone (301) 761-4760
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
535 Old Westminster Pike
Ste 104
Westminster, MD 21157
Phone (410) 453-8275
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
DC, Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
-
- Anesthesiology Physician
- Westminster, MD
- NPI 1972367522
-
- Certified Registered Nurse Anesthetist
- Germantown, MD
- NPI 1063132140
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Bowie Health Center
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
-
dba Holy Cross Health Lab Outreach
- Clinical Medical Laboratory
- Silver Spring, MD
- NPI 1831574284
Hospital
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
-
dba Upmc Western Maryland Center for Hope and Healing
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
dba UPMC Western Maryland
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
dba UPMC Western Maryland
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
dba UPMC Western Maryland
- Clinic/Center
- Cumberland, MD
- NPI 1780251850
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1952996787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13219 EXECUTIVE PARK TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742647",
"telephone_number": "240-898-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E UNIVERSITY PKWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182829",
"telephone_number": "410-554-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMOMOH",
"first_name": "MICHAEL",
"middle_name": "OSAGEDE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R219198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.