Individual provider Active NPI

Susan Roberta Jaros, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1396722609
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
425124 Issued in TX
Practice address
8408 Old Moss Rd
Dallas, TX 75231-1611
Phone
(214) 498-8648
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 425124 TX Primary

Addresses

Primary practice location

8408 Old Moss Rd
Dallas, TX 75231-1611

Mailing address

8408 Old Moss Rd
Dallas, TX 75231-1611
Phone (214) 498-8648

Other identifiers 5

IdentifierTypeStateIssuer
81000UOtherTXBCBS
088925505MedicaidTX
088925504MedicaidTX
088925507MedicaidTX
430048920OtherTXRAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000145 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577508795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miller-Franklin Limited Liability PartnershipGroup PAC ID 0749338861, 5 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd Pavillion II
DFW Vascular Group
Dallas, TX 75208-2363
Phone (214) 946-5165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
425124TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan R Jaros Crna PC Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2023 Accepting new patients
Miller-Franklin Limited Liability Partnership Nurse Anesthetist, Certified Registered CurrentSince May 24, 2010 Accepting new patients
DFW Vascular Group LLP CurrentSince May 24, 2010 Accepting new patients
Allied Anesthesia & Pain Management Consultants, LLP CurrentSince Aug 11, 2008 Accepting new patients
Southwestern Pain Institute, PA Nurse Anesthetist, Certified Registered PastSince Apr 16, 2019 Accepting new patients
Horizon Vein Laser&Aesthetics Clinic PA Past Accepting new patients
North Texas Anesthesia Consultants, PA PastSince Jan 1, 2003 Accepting new patients

Locations

221 W Colorado Blvd
Ste 625
Dallas, TX 75208
Phone (214) 943-8605

14850 Montfort Dr
Ste 200
Dallas, TX 75254
Phone (214) 373-9250

12610 E Northwest Hwy
Dallas, TX 75228
Phone (214) 946-5165

2801 Bolton Boone Dr
Ste 105
Desoto, TX 75115
Phone (214) 946-5165

4510 Medical Center Dr
McKinney, TX 75069
Phone (214) 491-6365

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1396722609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 OLD MOSS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311611",
            "telephone_number": "214-498-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 OLD MOSS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311611",
            "telephone_number": "214-498-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROS",
        "first_name": "SUSAN",
        "middle_name": "ROBERTA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "425124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81000U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088925505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088925504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088925507",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "430048920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

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