Individual provider Active NPI

David Kim Hoang, CRNA

  • Certified Registered Nurse Anesthetist
  • Rio Rancho, NM
National Provider Identifier
1013470335
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
61518 Issued in NM
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

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20201013001710 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991036188 Reassigns benefits to 2 organizations

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
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

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 Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
13-127191-022KSMDRegistered Nurse
557731KSMDCertified Registered Nurse Anesthetist
61518NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of New Mexico P C CurrentSince Sep 17, 2024 Accepting new patients
St. Vincent Hospital CurrentSince Apr 1, 2024 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Dec 1, 2020 Accepting new patients
St Vincent Hospital Current Accepting new patients
St Vincent Hospital Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 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.

Hospital & facility affiliations 2

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": "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.

Verify at the official NPI Registry.