Individual provider Active NPI

Viktoria Bartusov, CRNA

  • Certified Registered Nurse Anesthetist
  • Amarillo, TX
National Provider Identifier
1801038435
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
766909 Issued in TX
Practice address
600 S Tyler St Ste 2100
Amarillo, TX 79101-2304
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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 766909 TX Primary

Addresses

Primary practice location

600 S Tyler St Ste 2100
Amarillo, TX 79101-2304

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000

Other practice location 1

6606 LBJ Fwy
Suite 200
Dallas, TX 75240
Phone (972) 715-5000

Other identifiers 2

IdentifierTypeStateIssuer
202197405MedicaidTX
8516UJOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000505 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315096237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

6200 W Parker Rd
Greater Houston Anesthesiology
Plano, TX 75093-8185
Phone (972) 981-3675

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 27, 2009 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2009 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2015 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2015 Accepting new patients

Locations

600 S Tyler St
Ste 2100
Amarillo, TX 79101
Phone (806) 810-6689

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

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

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1801038435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S TYLER ST STE 2100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012304",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 LBJ FWY",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75240",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTUSOV",
        "first_name": "VIKTORIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "766909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202197405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8516UJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.