Active NPI
Enitan Adebayo Shiji, FNP-BC, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1054626
- Practice address
- 8801 S 101St East Ave
Tulsa, OK 74133-5716 - Phone
- (214) 545-2308
- NPI assigned
- Oct 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1054626 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 1054626 | TX | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 223402 | OK |
Addresses
Primary practice location
8801 S 101St East Ave
Tulsa, OK 74133-5716
Mailing address
3507 Walnut Ridge Dr
Midlothian, TX 76065-5378
Phone (214) 545-2308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054626 | Other | TX | TEXAS BOARD OF NURSING (APRN) LICENSE |
| 223402 | Other | OK | OKLAHOMA BOARD OF NURSING |
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 Regency Pkwy
Mansfield, TX 76063-7823
Phone (855) 677-8669
3201 W State Hwy 22
Corsicana, TX 75110-2450
Phone (903) 654-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223402 | OK | MD | Certified Registered Nurse Anesthetist |
| 1054626 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noble Anesthesia Partners, PLLC | Current | Accepting new patients | |
| NTX Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| Lake Granbury Hospital-Based Professional Services | Nurse Practitioner | Current | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
6611 River Place Blvd
Ste 202
Austin, TX 78730
Phone (512) 473-8300
2010 W Katherine P Raines Rd
Ste 100
Cleburne, TX 76033
Phone (817) 645-0811
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040
7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
7789 Southwest Fwy
Ste 200
Houston, TX 77074
Phone (713) 343-3100
252 Matlock Rd
Fl 4
Mansfield, TX 76063
Phone (817) 242-3600
280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Granbury, TX
- NPI 1689443467
Nurse Practitioner
-
- Anesthesiology Physician
- Irving, TX
- NPI 1619259553
-
- Anesthesiology Physician
- Waxahachie, TX
- NPI 1912410739
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corsicana, TX
- NPI 1144274226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1255094587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 WALNUT RIDGE DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655378",
"telephone_number": "214-545-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 S 101ST EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741335716",
"telephone_number": "214-545-2308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIJI",
"first_name": "ENITAN",
"middle_name": "ADEBAYO",
"credential": "FNP-BC, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1054626",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1054626",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "223402",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING (APRN) LICENSE",
"identifier": "1054626",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA BOARD OF NURSING",
"identifier": "223402",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.