Individual provider Active NPI

James K. Sampognaro, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1770581571
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
553146 Issued in TX
Practice address
4916 Overton PLZ
Fort Worth, TX 76109-4415
Phone
(888) 804-3000
NPI assigned
Jul 14, 2005
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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 553146 TX Primary

Addresses

Primary practice location

4916 Overton PLZ
Fort Worth, TX 76109-4415

Mailing address

2220 Forest Hollow Park
Dallas, TX 75228-7825
Phone (214) 327-2271

Other identifiers 1

IdentifierTypeStateIssuer
126074706MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001198 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355239609 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garland Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2020 Accepting new patients
Marc Daniel Anesthesia, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Mar 8, 2018 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Oct 20, 2017 Accepting new patients
Anesthesiology Consultants of North Texas PA Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Julius Zsohar III MD PA CurrentSince Nov 18, 2020 Accepting new patients
Allied Anesthesia & Pain Management Consultants, LLP CurrentSince Jun 1, 2025 Accepting new patients
Anesthesia Consultants of Dallas LLP Past Accepting new patients
Assured Anesthesia Consultants, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northstar Anesthesia of Ohio LLC Past Accepting new patients
Anesthesia Consultants of Dallas, LLP Past Accepting new patients
Mira Healthcare of Tennessee, PLLC Past Accepting new patients
Mesquite Professional Anesthesia, PA Past Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered PastSince Jan 14, 2017 Accepting new patients

Locations

1000 N Davis Dr
Arlington, TX 76012
Phone (817) 746-1169

1000 N Davis Dr
Ste C
Arlington, TX 76012
Phone (216) 896-9301

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1190 N Haskell Ave
Dallas, TX 75204
Phone (214) 281-8687

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

14850 Montfort Dr
Ste 200
Dallas, TX 75254
Phone (214) 373-9250

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

9032 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 231-2273

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7150 N President George Bush Hwy
Ste 101
Garland, TX 75044
Phone (214) 365-8180

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

729 W Bedford Euless Rd
Ste 100
Hurst, TX 76053
Phone (817) 282-1001

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1721 Analog Dr
Richardson, TX 75081

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

610 N Coit Rd
Ste 2100
Richardson, TX 75080
Phone 9405658580210

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1770581571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 FOREST HOLLOW PARK",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287825",
            "telephone_number": "214-327-2271",
            "fax_number": "214-327-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 OVERTON PLZ",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094415",
            "telephone_number": "888-804-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPOGNARO",
        "first_name": "JAMES",
        "middle_name": "K.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "553146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126074706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.