Active NPI
David Kim Hoang, CRNA
- Certified Registered Nurse Anesthetist
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 61518
- Practice address
- 3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100 - Phone
- (505) 994-7000
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-127191-022 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 557731 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 61518 | NM | Primary |
Addresses
Primary practice location
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Mailing address
1616 33Rd St SE
Rio Rancho, NM 87124-1702
Phone (316) 765-4698
Other practice location 1
929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Broadmoor Blvd NE
Unm Sandoval Regional Medical Cente
Rio Rancho, NM 87144-2100
Phone (505) 994-7000
Hospital & facility affiliations
- Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-127191-022 | KS | MD | Registered Nurse |
| 557731 | KS | MD | Certified Registered Nurse Anesthetist |
| 61518 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients | |
| St. Vincent Hospital | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| St Vincent Hospital | Current | Accepting new patients | |
| St Vincent Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
465 St Michaels Dr 101
Christus St Vincent
Santa Fe, NM 87505
Phone (505) 913-3180
465 St Michaels Dr 101
Christus St Vincent
Santa Fe, NM 87505
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Anesthesiology Physician
- Santa Fe, NM
- NPI 1902454499
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1013470335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 33RD ST SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241702",
"telephone_number": "316-765-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 BROADMOOR BLVD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871442100",
"telephone_number": "505-994-7000"
}
],
"practiceLocations": [
{
"address_1": "929 N Saint Francis Ave",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143821",
"country_code": "US",
"telephone_number": "316-268-5000",
"fax_number": "316-291-4272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "DAVID",
"middle_name": "KIM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-127191-022",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "557731",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "61518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.