Individual provider Active NPI

Cuc Hoang, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1629040753
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
638585 Issued in TX
Practice address
500 Throckmorton St
#2002
Fort Worth, TX 76102-3708
Phone
(214) 923-3508
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 638585 TX Primary

Addresses

Primary practice location

500 Throckmorton St
#2002
Fort Worth, TX 76102-3708

Mailing address

500 Throckmorton St
#2002
Fort Worth, TX 76102-3708
Phone (214) 923-3508

Other identifiers 2

IdentifierTypeStateIssuer
89782UOtherTXBCBSTX
157192906MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001350 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426048570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MTC Anesthesia PLLCGroup PAC ID 2062569049, 2 clinicians

Practice addresses (Care Compare)

9301 N Central Expy
Dallas, TX 75231-0802
Phone (214) 220-2468

Hospital & facility affiliations

  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MTC Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2006 Accepting new patients
Sundance Anesthesia PA Past Accepting new patients
Sheridan Healthcare of North Texas PA Past Accepting new patients
Apex Anesthesia Consultants, PLLC Past Accepting new patients
Presbyterian Hospital of Dallas Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 365-8144

Interoperability endpoints

  • Direct secure messaging: choang@direct.uspi.com

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1629040753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THROCKMORTON ST",
            "address_2": "#2002",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023708",
            "telephone_number": "214-923-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THROCKMORTON ST",
            "address_2": "#2002",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023708",
            "telephone_number": "214-923-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "CUC",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "638585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "89782U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157192906",
            "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 Jun 28, 2010; 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.