Individual provider Active NPI

Thanu Kovoor, CRNA

  • Certified Registered Nurse Anesthetist
  • Cedar Park, TX
National Provider Identifier
1184519027
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
155477 Issued in MI
Practice address
1907 Cypress Creek Rd Ste 108
Cedar Park, TX 78613-4151
Phone
(512) 294-2565
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 155477 MI Primary

Addresses

Primary practice location

1907 Cypress Creek Rd Ste 108
Cedar Park, TX 78613-4151

Mailing address

426 Auditorium Rd
East Lansing, MI 48824-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623001171 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749792133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians

Practice addresses (Care Compare)

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (214) 252-3535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
155477MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians Network PLLC CurrentSince Jun 12, 2025 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

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

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

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

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

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1184519027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 AUDITORIUM RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488242600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 CYPRESS CREEK RD STE 108",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134151",
            "telephone_number": "512-294-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVOOR",
        "first_name": "THANU",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "155477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.