Individual provider Active NPI

Hailu Dame

  • Certified Registered Nurse Anesthetist
  • La Plata, MD
National Provider Identifier
1972998060
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R177688 Issued in MD
Practice address
5 Garrett Ave
La Plata, MD 20646-5960
Phone
(301) 668-9988
NPI assigned
Apr 6, 2015
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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 R177688 MD Primary

Addresses

Primary practice location

5 Garrett Ave
La Plata, MD 20646-5960

Mailing address

11821 Pittson Rd
Silver Spring, MD 20906-4737

Other names 1

  • N/a N/a Professional name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 7113811795, 730 clinicians
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians
Columbia Outpatient Sedation LLCGroup PAC ID 3476718792, 29 clinicians
Cumberland Anesthesia Ams LLCGroup PAC ID 4981825056, 12 clinicians
Global Anesthesia Services LLCGroup PAC ID 3173610466, 7 clinicians

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

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
R177688MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Anesthesia Services LLC CurrentSince Dec 5, 2024 Accepting new patients
Cumberland Anesthesia Ams LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2025 Accepting new patients
Francu One LLC CurrentSince Feb 2, 2026 Accepting new patients
Holy Cross Anesthesiology Associate PA CurrentSince Jul 1, 2024 Accepting new patients
Columbia Outpatient Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Comfort Sedation LLC CurrentSince Sep 1, 2022 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2015 Accepting new patients
Olney Endoscopy Center PastSince Jan 1, 2026 Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients

Locations

1419 Forest Dr
Ste 105
Annapolis, MD 21403

626C Admiral Dr
#324
Annapolis, MD 21401

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

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

10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437

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

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

Organizations & group practices 11

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 3

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1972998060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 PITTSON RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GARRETT AVE",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465960",
            "telephone_number": "301-668-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAME",
        "first_name": "HAILU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R177688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.