Individual provider Active NPI

Obed S Estrada

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1407875099
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
642455 Issued in TX
Practice address
4916 Overton PLZ
Fort Worth, TX 76109-4415
Phone
(817) 529-1158
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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 642455 TX Primary

Addresses

Primary practice location

4916 Overton PLZ
Fort Worth, TX 76109-4415

Mailing address

PO Box 50667
Amarillo, TX 79159-0667

Other identifiers 1

IdentifierTypeStateIssuer
152468801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000704 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486831435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
NTX Anesthesiology Consultants PLLCGroup PAC ID 7416203773, 115 clinicians

Practice addresses (Care Compare)

1434 W US Hwy 287 Byp
Suite 100
Waxahachie, TX 75165-5007
Phone (469) 940-4030

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
72.83
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2024 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 5, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 5, 2025 Accepting new patients
NTX Anesthesiology Consultants PLLC CurrentSince Jun 14, 2018 Accepting new patients

Locations

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

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

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

2400 N Stallings Dr
Ste 405
Nacogdoches, TX 75964

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

1434 W US Highway 287 Byp
Ste 100
Waxahachie, TX 75165
Phone (469) 940-4030

1434 W US Highway 287 Byp
#100
Waxahachie, TX 75165
Phone (469) 940-4030

Organizations & group practices 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1407875099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50667",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 OVERTON PLZ",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094415",
            "telephone_number": "817-529-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "OBED",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "642455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152468801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.