Organization Active NPI

Sequoia Anesthesia Services PLLC

  • Anesthesiology Physician
  • Spring, TX
National Provider Identifier
1215611983
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SEQUOIA ANESTHESIA SERVICES PLLC
Practice address
25312 Interstate 45 N
Spring, TX 77386-1449
Phone
(346) 331-2554
Fax
(346) 331-2546
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Suman Smith
Title
Director of Revenue Cycle
Phone
(408) 834-3592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

25312 Interstate 45 N
Spring, TX 77386-1449

Mailing address

25312 Interstate 45 N
Spring, TX 77386-1449
Phone (346) 331-2554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712003555 TX Part B Supplier - Clinic/Group Practice 0840653101 Receives reassigned benefits from 8 practitioners
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1215611983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25312 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861449",
            "telephone_number": "346-331-2554",
            "fax_number": "346-331-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25312 INTERSTATE 45 N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861449",
            "telephone_number": "346-331-2554",
            "fax_number": "346-331-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "408-834-3592"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.