NPIMap

Organization Active NPI

University of Texas Southwestern Medical Center at Dallas

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1114992161
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 648-5460
NPI assigned
Feb 22, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL AT DALLASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Mark Meyer, M.D.
Title
Chief Financial Officer
Phone
(214) 645-0624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-0624

Other identifiers 1

IdentifierTypeStateIssuer
155257201MedicaidTX

Other names 1

  • UTSW Anesthesiology CRNAs Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000792 TX Part B Supplier - Clinic/Group Practice 0648188250 Receives reassigned benefits from 5,689 practitioners
46 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 43

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 43

National Provider Directory

National Provider Directory
Tax ID family
University of Texas Southwestern Medical Center79 organizations share this tax ID, including this one
Part of
University of Texas Southwestern Medical Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 163

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

  • Eileen Olainka Abbasi, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1588918981

    Nurse Anesthetist, Certified Registered

    NPD
  • Nichelle Adams, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1174853469

    Nurse Anesthetist, Certified Registered

    NPD
  • James Aguire, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1407108459

    Nurse Anesthetist, Certified Registered

    NPD
  • Sami Al-Aya
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1467067462

    Nurse Anesthetist, Certified Registered

    NPD
  • Carolyn Elise Altuna, CRNA
    • Certified Registered Nurse Anesthetist
    • Austin, TX
    • NPI 1093109712

    Nurse Anesthetist, Certified Registered

    NPD
  • Craig Allan Andersen, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1508854084

    Nurse Anesthetist, Certified Registered

    NPD
  • Nandini Rao Anne, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1235492471

    Nurse Anesthetist, Certified Registered

    NPD
  • Ben Arizola, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1679571418

    Nurse Anesthetist, Certified Registered

    NPD
  • Hunter Avera, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1467206631

    Nurse Anesthetist, Certified Registered

    NPD
  • Lisa Barbee, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1760464515

    Nurse Anesthetist, Certified Registered

    NPD
  • Jason Shay Barnette, CRNA
    • Certified Registered Nurse Anesthetist
    • Dallas, TX
    • NPI 1558305177

    Nurse Anesthetist, Certified Registered

    NPD
  • Viktoria Bartusov, CRNA
    • Certified Registered Nurse Anesthetist
    • Amarillo, TX
    • NPI 1801038435

    Nurse Anesthetist, Certified Registered

    NPD
View all 163

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1114992161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL AT DALLAS",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-645-0624",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155257201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTSW Anesthesiology CRNAs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.