NPIMap

Organization Active NPI

Celebrity Anesthesia PLLC

Doing business as Celebrity Anesthesia

  • Anesthesiology Physician
  • Austin, TX
National Provider Identifier
1679193197
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CELEBRITY ANESTHESIA PLLC
Doing business as
Celebrity Anesthesia
Practice address
1402 Homespun Rd
Austin, TX 78745-3041
Phone
(512) 924-1858
NPI assigned
Apr 24, 2020
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Travis Osborne, CRNANPI 1992190284
Title
Managing Partner/Crna
Phone
(512) 593-1945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1402 Homespun Rd
Austin, TX 78745-3041

Mailing address

3809 Valley View Rd BLDG 5
Austin, TX 78704-3375
Phone (512) 593-1945

Other names 1

  • Celebrity Anesthesia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201006002351 TX Part B Supplier - Clinic/Group Practice 8325467608 Receives reassigned benefits from 37 practitioners
Practice locations: New Braunfels, TX; Austin, TX

National Provider Directory

National Provider Directory

Locations

1179 East Paris Ave SE
#E200
Grand Rapids, MI 49546
Phone (616) 975-9100

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1679193197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 VALLEY VIEW RD BLDG 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043375",
            "telephone_number": "512-593-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 HOMESPUN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453041",
            "telephone_number": "512-924-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MANAGING PARTNER/CRNA",
        "authorized_official_telephone_number": "512-593-1945",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrity Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Celebrity Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.