Individual provider Active NPI

Augustine U Tudeme Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1295378115
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3014637 Issued in KY
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(615) 887-3126
NPI assigned
Oct 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 01010101 TX
Certified Registered Nurse Anesthetist 367500000X 3014637 KY Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (615) 887-3126

Other identifiers 1

IdentifierTypeStateIssuer
010101010OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL n/a Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210331002912 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274969506 Reassigns benefits to 7 organizations
I20250725000586 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274969506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

2400 Miami Valley Dr
Dayton, OH 45459-4774
Phone (937) 438-2400

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-7338

600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
01010101TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Anesthesiology CurrentSince Jul 21, 2025 Accepting new patients
Anesthesiology Services Network LTD Single Specialty CurrentSince Feb 22, 2021 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Deaconess Hospital Inc CurrentSince Jul 21, 2025 Accepting new patients
PHS Anesthesia Billing, LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Deaconess Hospital, Inc Single Specialty Current Accepting new patients
Cgi Anesthesia Associates LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Sandusky Anesthesia LLC Single Specialty CurrentSince Sep 30, 2022 Accepting new patients
Arlington Anesthesia Partners LLC Single Specialty CurrentSince Apr 12, 2025 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

7661 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 233-4900

4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

Organizations & group practices 10

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.

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1295378115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "615-887-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "615-887-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDEME",
        "first_name": "AUGUSTINE",
        "middle_name": "U",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "01010101",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3014637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "010101010",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5113 Saint Ives Dr",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371284588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.