Active NPI
Peter Idolo, CRNA
- Certified Registered Nurse Anesthetist
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP144813
- Practice address
- 4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602 - Phone
- (469) 541-1600
- Fax
- (469) 541-1612
- NPI assigned
- Jan 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA.15533-NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | AP144813 | TX | Primary |
Addresses
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2831 E President George Bush Hwy
Greater Houston Anesthesiology
Richardson, TX 75082-3561
Phone (469) 204-0702
7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 303-0104
Hospital & facility affiliations
- Methodist Richardson Medical Center
- Texas Health Presbyterian Hospital Allen
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.15533-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Spine Team Texas, PA | Current | Accepting new patients | |
| Spine Team Texas PA | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| DFW Oba PLLC | Current | Accepting new patients | |
| Allen Anesthesia Associates | Current | Accepting new patients |
Locations
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
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000
4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600
7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104
2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133
990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350
3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
2118 E State Highway 114
Southlake, TX 76092
Phone (817) 488-0410
1545 E Southlake Blvd
Ste 100
Southlake, TX 76092
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.
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Specialist
- McKinney, TX
- NPI 1265469357
-
- Anesthesiology Physician
- Flower Mound, TX
- NPI 1124468855
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Neurological Surgery Physician
- Southlake, TX
- NPI 1629082995
-
- Physical Medicine & Rehabilitation Physician
- Allen, TX
- NPI 1053798983
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
-
- General Acute Care Hospital
- Allen, TX
- NPI 1548291883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1508288341",
"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": "IDOLO",
"first_name": "PETER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-14",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.15533-NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP144813",
"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.