Individual provider Active NPI

Paul I Maduka, CRNA

  • Certified Registered Nurse Anesthetist
  • McKinney, TX
National Provider Identifier
1366081606
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
130044 Issued in TX
Practice address
4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602
Phone
(469) 541-1600
Fax
(469) 541-1612
NPI assigned
Jan 3, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 20

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Anesthesia PC (214 clinicians)
Allen Anesthesia Associates (94 clinicians)
Orthomed Staffing LLC (373 clinicians)

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451

1105 Central Expy N
Suite 210
Allen, TX 75013-6102
Phone (972) 747-5840

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital · Kingsport, TN · CCN 440017
  • Johnson City Medical Center Hospital · Johnson City, TN · CCN 440063
  • Texas Health Presbyterian Hospital Allen Hospital · Allen, TX · CCN 450840
  • Baylor Scott and White Medical Center McKinney Hospital · MC Kinney, TX · CCN 670082

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in TX, NM, TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200219001799 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517394273 Reassigns benefits to 8 organizations
I20250113002754 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517394273 Reassigns benefits to 1 organization
I20250801000397 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517394273 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
130044TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Good Shepherd Medical Center Nurse Anesthetist, Certified Registered Current
since Jan 2, 2024
Accepting new patients
Hendrick Anesthesia Network Current
since Jul 1, 2021
Accepting new patients
Spine Team Texas, PA Current
since Jan 26, 2021
Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered Current
since Jan 1, 2022
Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered Current
since Sep 21, 2021
Accepting new patients
Christus Good Shepherd Medical Center Current
since Jan 2, 2024
Accepting new patients
Orthomed Staffing LLC Current
since May 1, 2022
Accepting new patients
Methodist Health, Inc. Current Accepting new patients
St Vincent Hospital Nurse Anesthetist, Certified Registered Current
since Jan 20, 2025
Accepting new patients
East Tennessee Ambulatory Surgery Center LLC Current
since Jun 1, 2025
Accepting new patients
St. Vincent Hospital Current
since Jan 20, 2025
Accepting new patients
Allen Anesthesia Associates Current
since Jan 23, 2020
Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered Current
since Jun 16, 2022
Accepting new patients
Spine Team Texas, PA Current
since Jan 26, 2021
Accepting new patients
Spine Team Texas PA Current Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered Current
since Jun 1, 2025
Accepting new patients
St Vincent Hospital Current Accepting new patients
Singing River Health System Past Accepting new patients
Anesthesia Services of Kentucky, PLLC Past Accepting new patients

Locations (25 of 29)

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

906 W McDermott Dr
Allen, TX 75013
Phone (918) 812-4755

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600

6045 Alma Rd
Ste 100
McKinney, TX 75070
Phone (469) 854-8000

2905 Pine Mill Rd
Paris, TX 75460
Phone (903) 272-9924

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 130044 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602

Mailing address

906 W McDermott Dr # 116-371
Allen, TX 75013-6510
Phone (469) 541-1600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2023.

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1366081606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W MCDERMOTT DR # 116-371",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136510",
            "telephone_number": "469-541-1600",
            "fax_number": "469-541-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR STE 211",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691602",
            "telephone_number": "469-541-1600",
            "fax_number": "469-541-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUKA",
        "first_name": "PAUL",
        "middle_name": "I",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "130044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.