Individual provider Active NPI

I'Tavya Eghianruwa

  • Certified Registered Nurse Anesthetist
  • Richardson, TX
National Provider Identifier
1083243380
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP145940 Issued in TX
Practice address
507 Salem Dr
Richardson, TX 75080-3352
Phone
(469) 288-2590
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 853373 TX
Certified Registered Nurse Anesthetist 367500000X AP145940 TX Primary

Addresses

Primary practice location

507 Salem Dr
Richardson, TX 75080-3352

Mailing address

507 Salem Dr
Richardson, TX 75080-3352

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030002016 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234549346 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
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)

2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4569

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
853373TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 4, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 4, 2024 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
McAllen Anesthesia Consultants, PA Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Hendrick Anesthesia Network CurrentSince May 1, 2022 Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2020 Accepting new patients
Renaissance Medical Foundation Current Accepting new patients
McAllen Anesthesia Consultants, PA CurrentSince Feb 8, 2021 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

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

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

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

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

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

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

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

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

3500 Preston Rd
Ste 200
Plano, TX 75093
Phone (972) 985-2300

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 15

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.

View all 15

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1083243380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SALEM DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SALEM DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803352",
            "telephone_number": "469-288-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHIANRUWA",
        "first_name": "I'TAVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "853373",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP145940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.