Individual provider Active NPI

Travis Dean Laqua, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1063739035
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
717765 Issued in TX
Practice address
6411 Fannin St
Houston, TX 77030-1501
Phone
(713) 500-6200
NPI assigned
Apr 29, 2010
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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 717765 TX Primary

Addresses

Primary practice location

6411 Fannin St
Houston, TX 77030-1501

Mailing address

6431 Fannin St # 5.020
Houston, TX 77030-1501
Phone (713) 500-6200

Other identifiers 2

IdentifierTypeStateIssuer
8497UQOtherTXBCBS
213549313MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000907 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345371332 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians
Northwest Anesthesiology and Pain Services, P.a.Group PAC ID 9638067408, 95 clinicians

Practice addresses (Care Compare)

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

7010 Champions Plaza Dr
Suite 400
Houston, TX 77069-2395
Phone (832) 698-5320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Merit-based Incentive Payment System (MIPS)

Final score
33.22 of 100Reported as group
Quality
21.89
Improvement activities
0
Cost
70.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
717765TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Anesthesiology & Pain Services, P.a. CurrentSince Jul 1, 2024 Accepting new patients
Bios Anesthesia PLLC CurrentSince Oct 12, 2017 Accepting new patients
Southern Group Anesthesia PLLC CurrentSince Apr 5, 2025 Accepting new patients
Teleios Anesthesia PLLC CurrentSince Jul 15, 2015 Accepting new patients
Lonestar Anesthesia Solutions PLLC CurrentSince May 5, 2025 Accepting new patients
Bayou Anesthesia and Pain P.a. Past Accepting new patients
Gulf Coast Anesthesia, PLLC Nurse Anesthetist, Certified Registered PastSince Jan 24, 2012 Accepting new patients
Lonestar Spine & Pain Consultants, PLLC Past Accepting new patients

Locations

5420 Dashwood Dr
Ste 103
Houston, TX 77081
Phone (713) 661-9550

6011 W Sam Houston Pkwy S
Houston, TX 77072
Phone (713) 383-9651

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

1259 FM 1463 Rd
Ste 500
Katy, TX 77494
Phone (361) 237-1072

801 FM 1463 Rd
Ste 200
Katy, TX 77494
Phone (281) 562-9553

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

219 Oak Dr S
#A
Lake Jackson, TX 77566
Phone (979) 297-4033

219 Oak Dr S
#B
Lake Jackson, TX 77566
Phone (979) 297-4033

3725 E League City Pkwy
Ste 240
League City, TX 77573
Phone (281) 316-7111

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

3115 College Park Dr
Ste 103C
The Woodlands, TX 77384
Phone (936) 271-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1063739035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST # 5.020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUA",
        "first_name": "TRAVIS",
        "middle_name": "DEAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "717765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8497UQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213549313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.