NPIMap

Individual provider Active NPI

Samuel Richard Heath, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1023407517
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP127222 Issued in TX
Practice address
3705 Medical Pkwy
Suite 570
Austin, TX 78705
Phone
(512) 454-2554
NPI assigned
Jan 21, 2015
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 779067 TX
Certified Registered Nurse Anesthetist 367500000X AP127222 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy
Suite 570
Austin, TX 78705

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150130000123 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163746785 Reassigns benefits to 4 organizations
I20240507000858 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163746785 Reassigns benefits to 2 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
Ad of Texas PLLCGroup PAC ID 5294171823, 26 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians
Celebrity Anesthesia PLLCGroup PAC ID 8325467608, 23 clinicians

Practice addresses (Care Compare)

135 Bunton Creek Rd
Suite 201
Kyle, TX 78640-5701
Phone (888) 851-4642

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 262-7633

3801 N Lamar Blvd
Heart Hospital of Austin
Austin, TX 78756-4080
Phone (512) 407-7000

5329 Serene Hills Dr
Suite 100
Austin, TX 78738-1257
Phone (512) 593-1945

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2964MNMDMental Health Counselor
779067TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology, P.a. Nurse Anesthetist, Certified Registered CurrentSince Apr 16, 2024 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Allina Health System Current Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince May 13, 2022 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 13, 2022 Accepting new patients
Celebrity Anesthesia PLLC CurrentSince Nov 1, 2023 Accepting new patients
Ad of Texas PLLC CurrentSince Jun 14, 2025 Accepting new patients
Allina Health System CurrentSince Jan 27, 2025 Accepting new patients
Allina Health System CurrentSince Jan 27, 2025 Accepting new patients

Locations

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3705 Medical Pkwy
Ste 570
Austin, TX 78705
Phone (512) 454-2454

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

135 Bunton Creek Rd
Ste 201
Kyle, TX 78640
Phone (512) 314-5438

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

5329 Serene Hills Dr
Ste 100
Lakeway, TX 78738
Phone (512) 357-8220

717 Generations Dr
Ste A
New Braunfels, TX 78130
Phone (512) 593-1945

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 10

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1023407517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 570",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-454-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "SAMUEL",
        "middle_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "779067",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP127222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.