Individual provider Active NPI

David Andrews, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, OR
National Provider Identifier
1477595411
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201260021 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-7641
Fax
(503) 494-8368
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 46012 SC
Certified Registered Nurse Anesthetist 367500000X 201260021 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3601 SW River Pkwy Unit 1000
Portland, OR 97239-4557
Phone (843) 801-3015

Other practice location 1

1000 Johnnie Dodds Blvd Ste 103208
Mount Pleasant, SC 29464-3135
Phone (843) 801-3015

Other identifiers 2

IdentifierTypeStateIssuer
P00078405OtherSCRR MEDICARE
AN0713MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OR, TN, WV, VA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100121000201 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466594916 Reassigns benefits to 2 organizations
I20121127000038 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466594916 Reassigns benefits to 3 organizations
I20160913001601 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466594916 Reassigns benefits to 1 organization
I20161007001435 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466594916 Reassigns benefits to 1 organization
I20170119001862 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466594916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesiology Associates LLCGroup PAC ID 6901702869, 239 clinicians

Practice addresses (Care Compare)

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
952SCMDCounseling Psychologist
201260021ORMDCertified Registered Nurse Anesthetist
46012SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Anesthesia, LLC CurrentSince Jul 11, 2017 Accepting new patients
University Anesthesiology Associates, LLC CurrentSince Jan 1, 2018 Accepting new patients
On-Site Anesthesia Services Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2018 Accepting new patients
Oregon Pain Management LLC CurrentSince May 1, 2025 Accepting new patients
Mobile Anesthesia, LLC Past Accepting new patients
Inlet Anesthesia Consultants, PC Past Accepting new patients
Nurse Anesthesia of South Carolina LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Trident Anesthesia Group, LLC Past Accepting new patients
Anesthesia Works LLC Past Accepting new patients
Georgetown Anesthesia Consultants, PC Past Accepting new patients

Locations

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355

2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010

6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614

2631 Forest Dr
Columbia, SC 29204
Phone (803) 254-8449

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Interoperability endpoints

  • Direct secure messaging: dandrews105326@direct.ohsu.edu

Organizations & group practices 11

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477595411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW RIVER PKWY UNIT 1000",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394557",
            "telephone_number": "843-801-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7641",
            "fax_number": "503-494-8368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnnie Dodds Blvd Ste 103208",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643135",
            "country_code": "US",
            "telephone_number": "843-801-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "46012",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201260021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00078405",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.