Individual provider Active NPI

David Profit Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1699035923
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP122105 Issued in TX
Practice address
800 Wilcrest Dr Ste 213
Houston, TX 77042-1360
Phone
(713) 993-6053
Fax
(866) 810-8005
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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 AP122105 TX Primary

Addresses

Primary practice location

800 Wilcrest Dr Ste 213
Houston, TX 77042-1360

Mailing address

PO Box 66791
Houston, TX 77266-6791
Phone (713) 993-6053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, MS, CO, DC, NY, KY, NJ8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20120809000333 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 2 organizations
I20200407000862 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 1 organization
I20201123001295 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 1 organization
I20201123001921 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 1 organization
I20220216002874 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 1 organization
I20220408000884 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 1 organization
I20230110002120 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 1 organization
I20240314000263 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709032543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Anesthesia Associates PLLCGroup PAC ID 0941534770, 17 clinicians

Practice addresses (Care Compare)

1010 NW Loop 410
100B Vascular Internatonal of Texas
San Antonio, TX 78213-2220
Phone (713) 993-6053

1908 N Laurent St
Suite 120
Victoria, TX 77901-5475
Phone (713) 993-6053

3914 Centreville Rd
Suite 125
Chantilly, VA 20151-3289
Phone (713) 993-6053

6419 Polaris Dr
Suite B2
Laredo, TX 78041-2090
Phone (713) 993-6053

7101 S Staples St
Suite 101
Corpus Christi, TX 78413-5543
Phone (713) 993-6053

755 S 11TH St
Suite 100a
Beaumont, TX 77701-3221
Phone (713) 993-6053

800 Wilcrest Dr
Suite 213
Houston, TX 77042-1360

9441 Huron St
Thornton, CO 80260-5426
Phone (713) 993-6053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Syracuse Professional Medical Services of New York LLC PastSince Jul 1, 2020 Accepting new patients

Locations

755 S 11th St
Ste 100A
Beaumont, TX 77701
Phone (409) 729-8088

3312 Longmire Dr
College Station, TX 77845
Phone (979) 314-4614

5617 Timbergate Dr
Ste 100
Corpus Christi, TX 78414
Phone (361) 880-8322

1213 Hermann Dr
Ste 255
Houston, TX 77004
Phone (713) 522-6004

800 Wilcrest Dr
Ste 213
Houston, TX 77042

2636 S Loop W
Ste 560
Houston, TX 77054

24040 Highway 59 N
Kingwood, TX 77339
Phone (281) 312-0242

3412 Burke Rd
#100
Pasadena, TX 77504

17183 I 45 S
Ste 350
Shenandoah, TX 77385
Phone (936) 321-0080

7616 Branford Pl
Ste 140
Sugar Land, TX 77479
Phone (817) 605-9310

25329 Budde Rd
Ste 202
The Woodlands, TX 77380
Phone (325) 851-5008

17191 St Lukes Way
Ste 280
The Woodlands, TX 77384
Phone (936) 202-1260

1908 N Laurent St
Ste 120
Victoria, TX 77901
Phone (361) 576-4673

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1699035923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66791",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666791",
            "telephone_number": "713-993-6053",
            "fax_number": "866-810-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WILCREST DR STE 213",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421360",
            "telephone_number": "713-993-6053",
            "fax_number": "866-810-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFIT",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP122105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.