Active NPI
David L Stoddard, CRNA
- Certified Registered Nurse Anesthetist
- Kerrville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 658772
- Practice address
- 575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024 - Phone
- (830) 258-7828
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 658772 | TX | Primary |
Addresses
Primary practice location
575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024
Mailing address
PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072545 | Other | RE-CERT # | |
| 172979001 | Medicaid | TX | |
| 8960UC | Other | TX | BCBS PINNACLE ANESTHESIA CONSULTANTS, PA |
| 8D1570 | Other | TX | BCBS PROV # |
| 200050370A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
Hospital & facility affiliations
- Peterson Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Medical Associates | Current | Accepting new patients | |
| Anesthesia Associates of Kerrville PLLC | Past | Accepting new patients |
Locations
575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090
551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
-
- Anesthesiology Physician
- Kerrville, TX
- NPI 1245268846
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1124095815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650426",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650426",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 HILL COUNTRY DR STE 101",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286024",
"telephone_number": "830-258-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "DAVID",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "658772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RE-CERT #",
"identifier": "072545",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172979001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PINNACLE ANESTHESIA CONSULTANTS, PA",
"identifier": "8960UC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "8D1570",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200050370A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.