Individual provider Active NPI

Pamela Paige Dallas, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1093147084
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP123684 Issued in TX
Practice address
6720 Bertner Ave
Houston, TX 77030-2604
Phone
(832) 355-2666
NPI assigned
Aug 1, 2013
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 770687 NY
Certified Registered Nurse Anesthetist 367500000X R082022 AR
Certified Registered Nurse Anesthetist 367500000X 849022 TX
Certified Registered Nurse Anesthetist 367500000X AP123684 TX Primary

Addresses

Primary practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

6501 Fannin St Ste Nc114
Houston, TX 77030-2703
Phone (713) 798-7356

Other practice location 1

1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Phone (713) 620-4000

Other practice location 2

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

Other practice location 3

15655 Cypress Wood Medical Dr Ste 100
Houston, TX 77014-1487
Phone (713) 442-1700

Other practice location 4

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2860

Other identifiers 2

IdentifierTypeStateIssuer
331211804MedicaidTX
P01748065OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, NY, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20131015001653 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850525460 Reassigns benefits to 8 organizations
I20160714000393 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850525460 Reassigns benefits to 1 organization
I20191108000377 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850525460 Reassigns benefits to 1 organization
I20211215001436 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850525460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990

500 W Medical Ctr Blvd
Greater Houston Anesthesiology
Webster, TX 77598-4220
Phone (281) 332-2511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R082022ARMDCertified Registered Nurse Anesthetist
849022TXMDCertified Registered Nurse Anesthetist
AP123684TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC CurrentSince May 24, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Aug 25, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Aug 25, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 16, 2019 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2019 Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2018 Accepting new patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Independent Physicians Network PLLC CurrentSince May 1, 2022 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Sep 22, 2019 Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince Jul 31, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Mar 28, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Mar 28, 2018 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2016 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients

Locations (25 of 35)

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1025

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

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

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

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

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

5420 West Loop S
Ste 3500
Bellaire, TX 77401
Phone (713) 664-2662

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

15655 Cypress Wood Medical Dr
Ste 100
Houston, TX 77014
Phone (713) 442-1700

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

970 Campbell Rd
Houston, TX 77024
Phone (713) 461-3547

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1093147084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 FANNIN ST STE NC114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-798-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Citywest Blvd",
            "address_2": "Ste. 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770422300",
            "country_code": "US",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "713-442-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15655 Cypress Wood Medical Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770141487",
            "country_code": "US",
            "telephone_number": "713-442-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-873-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "PAMELA",
        "middle_name": "PAIGE",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "770687",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R082022",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "849022",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331211804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01748065",
            "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 May 8, 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.