Individual provider Active NPI

Anthony Casey Randolph

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1033440516
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
723910 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 920-6864
NPI assigned
Jan 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 723910 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1613 N. Harrison Parkway
Suite 200
Sunrise, FL 33323-2853
Phone (954) 838-2371

Other practice location 1

12222 N Central Expy Ste 340
Dallas, TX 75243-3755
Phone (972) 972-4851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000561 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901931708 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians
Konen and Associates, P.a.Group PAC ID 8820255581, 16 clinicians
Agape Anesthesia Crna PLLCGroup PAC ID 7214365014, 3 clinicians

Practice addresses (Care Compare)

1001 Surrey LN
Flower Mound, TX 75022-4234
Phone (817) 337-3671

1451 Empire Central Dr
Suite 800
Dallas, TX 75247-4088
Phone (972) 765-1938

2727 E Lemmon Ave
Dallas, TX 75204-2833
Phone (214) 443-3000

2813 W Southlake Blvd
Suite 130
Southlake, TX 76092-6848
Phone (580) 771-2011

5858 Main St
Suite 240
Frisco, TX 75033-4194
Phone (817) 533-7080

610 N Coit Rd
2100 Richardson Surgery Center of Legent
Richardson, TX 75080-5462
Phone (972) 954-3588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
723910TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 8, 2017 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2023 Accepting new patients
Global Anesthesia Services PLLC CurrentSince Jan 14, 2024 Accepting new patients
Bahec LLC CurrentSince May 7, 2021 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince May 1, 2021 Accepting new patients
Konen & Associates, PA CurrentSince Dec 29, 2022 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2023 Accepting new patients
Noble Anesthesia Partners, PLLC CurrentSince Dec 27, 2022 Accepting new patients
Agape Anesthesia Crna, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2022 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Jan 14, 2024 Accepting new patients
Upm Anesthesia PLLC PastSince Jul 22, 2025 Accepting new patients

Locations (25 of 43)

981 State Highway 121
Ste 2100
Allen, TX 75013
Phone (214) 383-8210

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

6611 River Place Blvd
Ste 202
Austin, TX 78730
Phone (512) 473-8300

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

800 E Whitestone Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 528-2000

1451 Empire Central Dr
Ste 800
Dallas, TX 75247
Phone (214) 820-7246

17980 Dallas Pkwy
Ste 100
Dallas, TX 75287
Phone (817) 556-8387

12222 N Central Expy
Ste 340
Dallas, TX 75243
Phone (972) 972-4851

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4400

9500 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 739-9544

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2000 S FM 51
Decatur, TX 76234
Phone (940) 626-1848

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

5858 Main St
Ste 240
Frisco, TX 75033
Phone (817) 533-7080

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1615 Lancaster Dr
Grapevine, TX 76051
Phone (817) 210-0279

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1033440516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N. HARRISON PARKWAY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-920-6864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 N Central Expy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433755",
            "country_code": "US",
            "telephone_number": "972-972-4851",
            "fax_number": "972-556-5202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ANTHONY",
        "middle_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "723910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.