Mary Anibuali, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Fort Sam Houston, TX
NPI 1124597000 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1124597000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1127831 (TX)
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-7500
- NPI assigned
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston Anesthesia Services PLLC
CPR Anesthesia Inc
Practice addresses (Care Compare)
6200 Savoy Dr
Suite 1202
Houston, TX 77036-3397
Phone (888) 589-8550
715 Camden St
San Antonio, TX 78215-1619
Phone (210) 226-6169
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190129000630 | WV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3072850007 | Reassigns benefits to 4 organizations |
| I20231116001609 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3072850007 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Current |
Accepting new patients | |
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CPR Anesthesia, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Harris County Med Surg Partners PLLC | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Houston Anesthesia Services PLLC | Current |
Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Safe & Sound Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Austin Anesthesiology Group PLLC | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current |
Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current |
Accepting new patients |
Locations
82 Patton Ave
Ste 510
Asheville, NC 28801
Phone (828) 210-9386
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
6200 Savoy Dr
Ste 1202
Houston, TX 77036
Phone (254) 220-5560
715 Camden St
San Antonio, TX 78215
Phone (210) 692-0218
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
17005 Interstate 35 N
Schertz, TX 78154
421 School St
Ste 110
Tomball, TX 77375
Phone (281) 357-1977
84 Brookshire Ln
Beckley, WV 25801
Phone (304) 255-2341
306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1127831 | TX | Yes |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-7500
Other providers in Fort Sam Houston, TX
- Ignatius Andoh
- Michelle Andrus
- Share Dawn Angel
- Carlos Efrain Angueira
- Mirna Anguiano
- Richard Lee Anschutz
- Janette Ansorge
- Mark A. Antonacci
- Vincent Matthew Antunez
- Faten Anwar
All providers in Fort Sam Houston, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.