Hailu Dame
Individual provider Active NPI Certified Registered Nurse Anesthetist · La Plata, MD
NPI 1972998060 · NPPES record last updated Apr 6, 2015
Key facts
- NPI
- 1972998060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R177688 (MD)
- Practice address
- 5 Garrett Ave
La Plata, MD 20646-5960 - Phone
- (301) 668-9988
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
First Colonies Anesthesia Associates, LLC
Holy Cross Anesthesiology Associate, PA
Columbia Outpatient Sedation LLC
Cumberland Anesthesia Ams LLC
Global Anesthesia Services LLC
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000
11210 Old Georgetown Rd
Rockville, MD 20852-3202
Phone (301) 881-7770
11400 Rockville Pike
C25
Rockville, MD 20852-3063
Phone (301) 770-8700
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000
3407 Olandwood CT
Unit 103
Olney, MD 20832-1447
Phone (301) 570-8671
641 S Salisbury Blvd
Salisbury, MD 21801-5429
Phone (410) 341-9002
6816 Deerpath Rd
Elkridge, MD 21075-7392
Phone (443) 701-9295
7120 Minstrel Way
Suite 100
Columbia, MD 21045-5274
Phone (410) 290-6677
7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-1279
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3931
9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7324
Hospital & facility affiliations
- Adventist Healthcare White Oak Medical Center
- Adventist Healthcare Shady Grove Medical Center
- Holy Cross Germantown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151104002838 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002126992 | Reassigns benefits to 5 organizations |
| I20161028001323 | MD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002126992 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R177688 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Francu One LLC | Current |
Accepting new patients | |
| Comfort Sedation LLC | Current |
Accepting new patients | |
| Global Anesthesia Services LLC | Current |
Accepting new patients | |
| Columbia Outpatient Sedation LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cumberland Anesthesia Ams LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Holy Cross Anesthesiology Associate PA | Current |
Accepting new patients | |
| Newbridge Surgery Center at Prince Frederick, LLC | Past | Accepting new patients | |
| Olney Endoscopy Center | Past |
Accepting new patients |
Locations
810 Bestgate Rd
Ste 120
Annapolis, MD 21401
626C Admiral Dr
#324
Annapolis, MD 21401
1419 Forest Dr
Ste 105
Annapolis, MD 21403
9001 Woodyard Rd
Ste B
Clinton, MD 20735
Phone (301) 868-4950
7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828
12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185
6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019
308 Hospital Dr
Ste 102
Glen Burnie, MD 21061
Phone (410) 760-8100
1110 Professional Ct
Hagerstown, MD 21740
Phone (240) 420-5559
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
3407 Olandwood Ct
Unit 103
Olney, MD 20832
Phone (301) 570-8671
70 Sherry Ln
Prince Frederick, MD 20678
Phone (443) 486-4230
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
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437
641 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 341-9002
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R177688 | MD | Yes |
Addresses
Primary practice location
5 Garrett Ave
La Plata, MD 20646-5960
Mailing address
11821 Pittson Rd
Silver Spring, MD 20906-4737
Other names
- N/a N/a
Other providers in La Plata, MD
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- Kevin L Cummings
- Jane Cunningham
- Virginia Lee Cusick
- Dalhart Dialysis LLC
- Monique Alicia Daniel
- Fernando Daniels III
- Christiana Ruth Dasilva Freitas
- Bronwyn Elizabeth Daugherty
- Tara K Davis-Rama
All providers in La Plata, MD · Certified Registered Nurse Anesthetist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.