Individual provider Active NPI

Michael Osagede Imomoh

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1952996787
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R219198 Issued in MD
Practice address
201 E University Pkwy
Baltimore, MD 21218-2829
Phone
(410) 554-2626
NPI assigned
Mar 3, 2021
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 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, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210722002069 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789087172 Reassigns benefits to 7 organizations
I20230210001154 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789087172 Reassigns benefits to 2 organizations

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
North American Partners in Anesthesia Maryland LLCGroup PAC ID 1850283144, 47 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

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

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
R219198MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sevox Medical Services Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Feb 20, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Holy Cross Anesthesiology Associate PA CurrentSince Jul 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Aug 1, 2021 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Aug 1, 2021 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2023 Accepting new patients
Old Westminster Pike Anesthesia LLC CurrentSince Nov 23, 2024 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.

Hospital & facility affiliations 8

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": "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.

Verify at the official NPI Registry.