Individual provider Active NPI

Donte A. Flanagan, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1083927958
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
689952 Issued in NY
Practice address
310 E. 14TH Street
Ny Eye & Ear Infirmory
New York, NY 10003
Phone
(212) 479-4000
Fax
(770) 751-2627
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 RN184689 GA
Certified Registered Nurse Anesthetist 367500000X 689952 NY Primary

Addresses

Primary practice location

310 E. 14TH Street
Ny Eye & Ear Infirmory
New York, NY 10003

Mailing address

2636 S Loop W
Ste 560
Houston, TX 77054-2953
Phone (409) 753-5669

Other identifiers 1

IdentifierTypeStateIssuer
RN184689OtherGAGA CRNA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, LA, MS, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20101022000527 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517150501 Reassigns benefits to 2 organizations
I20141014000166 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517150501
I20180516000673 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517150501 Reassigns benefits to 3 organizations
I20210616003328 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517150501 Reassigns benefits to 1 organization
I20230105001107 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517150501 Reassigns benefits to 1 organization

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
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 349-8310

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN184689GAMDCertified Registered Nurse Anesthetist
689952NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Oct 13, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Apr 1, 2019 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Mar 4, 2018 Accepting new patients
Phoebe Infectious Disease CurrentSince Sep 1, 2012 Accepting new patients
Vascular Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Apr 1, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 13, 2022 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince May 26, 2018 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Sep 1, 2012 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients

Locations

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1415 Tulane Ave
Fl 3
New Orleans, LA 70112
Phone (504) 988-5271

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

3217 Mabel St
Shreveport, LA 71103

55 Physicians Ln
Southaven, MS 38671
Phone (662) 655-2136

5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

5645 Murray Ave
Memphis, TN 38119
Phone (901) 633-1190

2636 S Loop W
Ste 560
Houston, TX 77054

Organizations & group practices 11

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 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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1083927958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W",
            "address_2": "STE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542953",
            "telephone_number": "409-753-5669",
            "fax_number": "866-810-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E. 14TH STREET",
            "address_2": "NY EYE & EAR INFIRMORY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-479-4000",
            "fax_number": "770-751-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "DONTE",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN184689",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "689952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA CRNA LICENSE",
            "identifier": "RN184689",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.