Individual provider Active NPI

Phillip Podret, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1023595592
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP138249 Issued in TX
Practice address
3705 Medical Pkwy Ste 570
Austin, TX 78705-1024
Phone
(512) 454-2554
Fax
(512) 454-2824
NPI assigned
Jul 26, 2018
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP138249 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 570
Austin, TX 78705-1024

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppodret921759@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828004136 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739439548 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Ad of Texas PLLCGroup PAC ID 5294171823, 26 clinicians

Practice addresses (Care Compare)

123 N Loop 1604
Suite 107
San Antonio, TX 78232-1390
Phone (210) 267-1374

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients
Orthomed Staffing LLC CurrentSince Nov 13, 2024 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2022 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients
Ad of Texas PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

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

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

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

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

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

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

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

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

Interoperability endpoints

  • Direct secure messaging: ppodret921759@direct.sw.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1023595592",
    "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 STE 570",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-454-2554",
            "fax_number": "512-454-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRET",
        "first_name": "PHILLIP",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP138249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppodret921759@direct.sw.org",
            "affiliation": "N",
            "address_1": "3705 Medical Pkwy Ste 570",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787051024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 26, 2022; 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.