Organization Active NPI

Inland Valley Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Kerrville, TX
National Provider Identifier
1649865221
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
INLAND VALLEY ANESTHESIA, PLLC
Practice address
1001 Water St # C-100
Kerrville, TX 78028-3523
Phone
(830) 896-2444
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
James Roberton
Title
Crna,Ceo
Phone
(951) 595-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1001 Water St # C-100
Kerrville, TX 78028-3523

Mailing address

14845 Iron Horse Way
Helotes, TX 78023-4591
Phone (951) 595-0719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719001260 TX Part B Supplier - Clinic/Group Practice 6002218799 Receives reassigned benefits from 1 practitioner
Practice locations: Boerne, TX; Kerrville, TX; Helotes, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1649865221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14845 IRON HORSE WAY",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234591",
            "telephone_number": "951-595-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST # C-100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283523",
            "telephone_number": "830-896-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CRNA,CEO",
        "authorized_official_telephone_number": "951-595-0719"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.