Organization Active NPI

Metro Anesthesiology Affiliates PLLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
National Provider Identifier
1720852205
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
METRO ANESTHESIOLOGY AFFILIATES PLLC
Practice address
1805 Kinsale Dr
Keller, TX 76262-9023
Phone
(817) 966-2762
Fax
(682) 270-0829
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Robert Louis Delillo, DNP, CRNA, NSPM-CNPI 1013008721
Title
Sole MBR
Phone
(817) 966-2762

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
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1805 Kinsale Dr
Keller, TX 76262-9023

Mailing address

1805 Kinsale Dr
Keller, TX 76262-9023
Phone (817) 966-2762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240111004051 TX Part B Supplier - Clinic/Group Practice 0749631901 Receives reassigned benefits from 1 practitioner
Practice locations: Coppell, TX

National Provider Directory

National Provider Directory
Tax ID family
Coppell Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1720852205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 KINSALE DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762629023",
            "telephone_number": "817-966-2762",
            "fax_number": "682-270-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 KINSALE DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762629023",
            "telephone_number": "817-966-2762",
            "fax_number": "682-270-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ANESTHESIOLOGY AFFILIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "DELILLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "817-966-2762",
        "authorized_official_credential": "DNP, CRNA, NSPM-C"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.