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Deactivated NPI 1700861325 Deactivated / Inactive NPI Female Practitioner

Diane J Mora , CRNA

Anesthesiologist Assistant • Baltimore, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Diane Mora has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2005
NPI Deactivation Date August 19, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Diane Mora, CRNA was a registered Anesthesiologist Assistant practicing in Baltimore, MD. Throughout an active medical career spanning 17 years, Diane Mora provided care at the practice location at 827 LINDEN AVE until profile deactivation on 2022-08-19.

Historical Medicare Part B clinical services included anesthesia for procedure on small and large bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for exam of colon using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

827 Linden Ave

Baltimore, MD 212014606

Telephone 4102258000
Associated Practice Facility / Clinic
🏢 Anthony & Banerjee Md Pa Facility NPI 1083690143

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Baltimore, MD (9 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00813 Anesthesia for procedure on small and large bowel using an endoscope
13 13 $1184.62 $186.92
00811 Anesthesia for procedure on large bowel using an endoscope
12 12 $956.67 $154.97

Medical Specialties & State Licenses

Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License MD R103350

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Thomas Byrne , MD

Internal Medicine

NPI 1013043827

Doctor of Medicine (M.D.)

Yelena Gerashchenko , PA

Physician Assistant - Medical

NPI 1013989573

Physician Assistant

Dr. Bruce Gneshin , MD

Obstetrics & Gynecology

NPI 1043314123

Doctor of Medicine (M.D.)

Saleem Khan

Physician Assistant

NPI 1063506699
Fallon Rovel-Jones

Physician Assistant

NPI 1073981684
Alden Littlewood

Psychiatry & Neurology - Psychiatry

NPI 1083000665

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2022

Record deactivated on August 19, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 827 LINDEN AVE, BALTIMORE, MD 212014606 (Tel: 4102258000)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 452395, SUNRISE, FL 333452395

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Provider Name / Credentials Updated July 08, 2007

Recorded as DIANE MORA, CRNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiologist Assistant (License #R103350 in MD)

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Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700861325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2005
Last Update: July 08, 2007
Deactivation Date: August 19, 2022

Mailing Address

Po Box 452395

Sunrise, FL 333452395

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.