NPIMap

Organization Active NPI

Alpha Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
National Provider Identifier
1215625348
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ALPHA ANESTHESIA LLC
Practice address
20 W 1St St Ste 201
Mesa, AZ 85201-6653
Phone
(480) 874-7014
Fax
(480) 874-7014
NPI assigned
Apr 26, 2023
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Aaron Whitley, CRNANPI 1215453972
Title
Sole MBR
Phone
(480) 874-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

20 W 1St St Ste 201
Mesa, AZ 85201-6653

Mailing address

PO Box 5870
Mesa, AZ 85211-5870
Phone (480) 874-7014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211001869 AZ Part B Supplier - Clinic/Group Practice 0749639136 Receives reassigned benefits from 16 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1215625348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5870",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852115870",
            "telephone_number": "480-874-7014",
            "fax_number": "480-874-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 1ST ST STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016653",
            "telephone_number": "480-874-7014",
            "fax_number": "480-874-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "480-874-7014",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.