Active NPI
Michael James Neill, CRNA
- Certified Registered Nurse Anesthetist
- Tamc, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R197947
- Practice address
- 1 Jarrett White Rd
Tamc, HI 96859-5001 - Phone
- (808) 433-5074
- NPI assigned
- Jan 8, 2007
- Last updated
- May 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R197947 | MD | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 551128 | CA |
Addresses
Primary practice location
1 Jarrett White Rd
Tamc, HI 96859-5001
Mailing address
92-1240 Palahia St Apt U104
Kapolei, HI 96707-2347
Phone (714) 273-0116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3011 W Loop 1604
San Antionio, TX 78251-3901
Phone (726) 266-8100
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 551128 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Texas Ams PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
5530 Wisconsin Ave
Ste 1620
Chevy Chase, MD 20815
Phone (301) 717-9800
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-8100
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1174926125
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Westover Hills Baptist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1326196015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-1240 PALAHIA ST APT U104",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072347",
"telephone_number": "714-273-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TAMC",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILL",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R197947",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "551128",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamc, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.