Individual provider Active NPI

Anoumou Somado

  • Certified Registered Nurse Anesthetist
  • Lincoln, NE
National Provider Identifier
1063085918
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1129901 Issued in TX
Practice address
1535 S 52ND St
Lincoln, NE 68506-1304
Phone
(402) 481-3801
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 1129901 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X 74743 NE

Addresses

Primary practice location

1535 S 52ND St
Lincoln, NE 68506-1304

Mailing address

1535 S 52ND St
Lincoln, NE 68506-1304

Other practice location 1

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221107001601 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719354620 Reassigns benefits to 1 organization
I20230928001774 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719354620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1401 E 8TH St
Weslaco, TX 78596-6640
Phone (956) 968-8567

1900 S D St
McAllen, TX 78503-1507
Phone (956) 994-2000

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 632-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1129901TXMDCertified Registered Nurse Anesthetist
74743NEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia West, P.C. Current Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2023 Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients

Locations

7801 Wakeley Plz
Omaha, NE 68114
Phone (402) 391-4855

7822 Davenport St
Omaha, NE 68114
Phone (402) 391-4855

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1063085918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 S 52ND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 S 52ND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061304",
            "telephone_number": "402-481-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Oregon St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023320",
            "country_code": "US",
            "telephone_number": "915-577-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMADO",
        "first_name": "ANOUMOU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1129901",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": "74743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.