Individual provider Active NPI

David Randall Maxwell

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
National Provider Identifier
1639765738
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-175458 Issued in AL
Practice address
101 Sivley Rd SW
Huntsville, AL 35801-4470
Phone
(256) 262-2590
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 1-175458 AL Primary
Registered Nurse 163W00000X 1-175458 AL

Addresses

Primary practice location

101 Sivley Rd SW
Huntsville, AL 35801-4470

Mailing address

PO Box 12694
Huntsville, AL 35815-2694
Phone (770) 317-8076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AZ, FL, WV, WA, SC6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20210115000200 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507279338 Reassigns benefits to 2 organizations
I20230629001900 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507279338 Reassigns benefits to 3 organizations
I20231214002138 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507279338 Reassigns benefits to 1 organization
I20240515000605 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507279338 Reassigns benefits to 2 organizations
I20250515001027 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507279338 Reassigns benefits to 1 organization
I20260127003588 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507279338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Hospital AnesthesiaGroup PAC ID 7315990751, 157 clinicians
Antigua Anesthesia Management, LLCGroup PAC ID 3870908676, 39 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120

245 Governors Dr SE
Huntsville, AL 35801-3784
Phone (256) 265-8120

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-175458ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Single Specialty CurrentSince Apr 30, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc Single Specialty CurrentSince Apr 3, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Nov 11, 2023 Accepting new patients
Greater Anesthesia Solutions Single Specialty CurrentSince Oct 7, 2023 Accepting new patients
Hospitalist Medicine Physicians of Alabama-TCG, Inc. Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC Single Specialty CurrentSince May 7, 2023 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Huntsville Hospital Anesthesia Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2023 Accepting new patients
Antigua Anesthesia Management, LLC Single Specialty CurrentSince Jul 17, 2023 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Single Specialty Current Accepting new patients

Locations

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

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

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

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1639765738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12694",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358152694",
            "telephone_number": "770-317-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014470",
            "telephone_number": "256-262-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DAVID",
        "middle_name": "RANDALL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-175458",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-175458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.