DR. SUPRIYA BANAD JAGANNATH M.D
NPI 1164464434
Anesthesiology in Salisbury, MD
About Dr. Supriya Banad Jagannath M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUPRIYA BANAD JAGANNATH M.D (NPI 1164464434) is an individual anesthesiology provider in Salisbury, Maryland, licensed in Maryland (D0064112) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Supriya Banad Jagannath M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Supriya Jagannath reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Annapolis, MD 21401
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 391 clinicians in this Medicare group
Annapolis, MD 21401
- Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
- Also billed through NPI 1366781700 (District of Columbia), NPI 1285752121 (Maryland), NPI 1942546486 (Maryland), NPI 1578638425 (District of Columbia), NPI 1457023616 (Maryland), NPI 1972275196 (Virginia), NPI 1114677572 (Virginia), NPI 1073678637 (District of Columbia), NPI 1497023188 (District of Columbia)
- 2,492 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 86 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 717 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALISBURY, MD 21801
SALISBURY, MD 21801
SALISBURY, MD 21801
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Supriya Jagannath's NPI number?
The NPI number for Supriya Jagannath is 1164464434. It was assigned to this individual provider in the NPPES registry on June 12, 2006.
Where is Supriya Jagannath located?
Supriya Jagannath practices at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 543-7375.
What is Supriya Jagannath's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Supriya Jagannath enrolled in Medicare?
Yes. Supriya Jagannath is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Supriya Jagannath's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Supriya Jagannath reassigns Medicare benefits to 4 organizations: Anesthesia Company, LLC (Annapolis, MD), Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Annapolis, MD), Columbia Outpatient Sedation LLC (Columbia, MD) and First Colonies Anesthesia Associates, LLC (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Supriya Jagannath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Supriya Jagannath was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Supriya Banad Jagannath, M.D · NPI 1164464434
Anesthesiology physician in Salisbury, Maryland. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1164464434 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** D0064112 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E CARROLL ST, Salisbury, MD 21801-5422
- **Phone:** (410) 543-7375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Anesthesia Company, LLC (NPI 1871548156, Annapolis, MD); Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1952461816, Annapolis, MD); Columbia Outpatient Sedation LLC (NPI 1588921225, Columbia, MD); First Colonies Anesthesia Associates, LLC (NPI 1740218767, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2024
- **Other identifiers:** Medicaid 411276800 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1164464434) · Data from the CMS NPPES public registry.