Randy Keilich Ingmire, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

646815 Issued in TX

Practice address

10455 N Central Expy
Suite 109-347
Dallas, TX 75231-2213

Phone

(956) 754-9687

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Associates, IncGroup PAC ID 8325217904, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Clinical Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1518265966
  Medicare reassignment Care Compare group
• Epix Medical Services of Houston PLLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1417392200

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Healthcare Partners of Laredo, P. a.

  • Anesthesiology Physician
  • Laredo, TX
  • NPI 1992739916
  NPD (past)
• Clinical Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1952026163

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Presbyterian Hospital of Dallas

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1750335618

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1033239157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY",
            "address_2": "STE. 109-347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312213",
            "telephone_number": "956-754-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY",
            "address_2": "SUITE 109-347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312213",
            "telephone_number": "956-754-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGMIRE",
        "first_name": "RANDY",
        "middle_name": "KEILICH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "646815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "89871U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas Ingberg, MD
• Marie Camille Inge
• Mikel Ingemansen, CRNA
• Stephanie Taylor Ingersoll, CRNA
• Norman Inglet, LCSW
• Linda M. Ingraham, PH.D.
• Jelani D Ingram, M.D.
• Jesse C Ingram, PHD
• Jokae Ingram, PH.D.
• Kristopher Sterling Ingram, PHARMD

• Certified Registered Nurse Anesthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.