John Arnold Sandru, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3220 Issued in NC

Practice address

2417 Atrium Dr Ste 101
Raleigh, NC 27607-6673

Phone

(800) 242-5080

Fax

(727) 900-7981

NPI assigned

Jul 8, 2011

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Sedation Associates LLCGroup PAC ID 1254698624, 21 clinicians

Rsa Johnston LLCGroup PAC ID 5799225512, 6 clinicians

FMFL Anesthesia LLCGroup PAC ID 1153752811, 15 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raleigh Sedation Associates LLC

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
  • NPI 1639698533

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Rsa Johnston LLC

  • Certified Registered Nurse Anesthetist
  • Clayton, NC
  • NPI 1346094380

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• FMFL Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1871127134

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Regional Anesthesia, PLLC

  • Specialist
  • Durham, NC
  • NPI 1952486946
  Medicare reassignment NPD
• Triad Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
  • NPI 1427528595

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Greater Charlotte Support Services, PLLC

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1598625626
  Medicare reassignment
• Johnston Health Endoscopy Services, LLC

  dba Johnston Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Clayton, NC
  • NPI 1588448252
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1053608109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946619",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303946619",
            "telephone_number": "800-242-5080",
            "fax_number": "727-900-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 ATRIUM DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076673",
            "telephone_number": "800-242-5080",
            "fax_number": "727-900-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRU",
        "first_name": "JOHN",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-127601",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Adriana Sandoval Veliz, RN
• Destny Anastasia Sandoval
• Erick Joel Sandoval, NP
• Sandra M. Story, Psy.D., P.C.
• Sandra Martin, D.M.D.
• Sandy J. Kimmel, D.O., P.a.
• Elaine Sanford-Sawyer, LCSW; LICDC
• Julian Wayne Sanford, CRNA
• Lisa Ann Sanford, MSN FNP
• Dawn Ida Sanger

• Certified Registered Nurse Anesthetist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.