Individual provider Active NPI

Antonio Bogdan Fratila, M.D.

  • Anesthesiology Physician
  • Corpus Christi, TX
National Provider Identifier
1467484691
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M1097 Issued in TX
Practice address
15126 Cane Harbor Blvd
Corpus Christi, TX 78418-7601
Phone
(361) 442-5588
Fax
(888) 858-1409
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M1097 TX Primary

Addresses

Primary practice location

15126 Cane Harbor Blvd
Corpus Christi, TX 78418-7601

Mailing address

15126 Cane Harbor Blvd
Corpus Christi, TX 78418-7601
Phone (361) 442-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000606 TX Practitioner - Anesthesiology 3779660378 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Christus Spohn Hospital Corpus Christi SH
Corpus Christi, TX 78404-2235
Phone (361) 881-3657

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Specialty Surgical Center LLC CurrentSince Nov 1, 2022 Accepting new patients
Opcare Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Wavepro LLC Current Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Mar 24, 2024 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

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

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

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

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

6005 Holly Rd
Corpus Christi, TX 78412
Phone (361) 400-3168

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

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

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

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

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

16170 Jones Maltsberger Rd
Ste 106
San Antonio, TX 78247
Phone (210) 485-1844

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 8

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1467484691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15126 CANE HARBOR BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784187601",
            "telephone_number": "361-442-5588",
            "fax_number": "888-858-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15126 CANE HARBOR BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784187601",
            "telephone_number": "361-442-5588",
            "fax_number": "888-858-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATILA",
        "first_name": "ANTONIO",
        "middle_name": "BOGDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.