Individual provider Active NPI

Katubiya B Bakatubia, CRNA

  • Certified Registered Nurse Anesthetist
  • Plano, TX
National Provider Identifier
1811274376
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
141611 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(972) 596-6800
NPI assigned
Nov 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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 141611 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

10 Westgrove CT
Mansfield, TX 76063-5007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000268 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092975391 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Anesthesia Services PLLCGroup PAC ID 8921530247, 3 clinicians
Hill Regional Physician Group IncGroup PAC ID 6002220464, 27 clinicians

Practice addresses (Care Compare)

25312 Interstate 45 N
Spring, TX 77386-1449
Phone (346) 331-2554

2600 W Pleasant Run Rd
Lancaster, TX 75146-1114
Phone (469) 297-5481

Hospital & facility affiliations

  • Crescent Medical Center Lancaster Hospital, Lancaster, TX, CCN 670090
  • The Woodlands Specialty Hospital Hospital, Spring, TX, CCN 670267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141611TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 25, 2020 Accepting new patients
Ultimate Anesthesia Services PLLC CurrentSince Dec 5, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Preston Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2017 Accepting new patients
Hill Regional Physician Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 24, 2026 Accepting new patients

Locations

1780 W McDermott Dr
Ste 200
Allen, TX 75013
Phone (972) 733-3344

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

3140 Legacy Dr
Ste 300
Frisco, TX 75034
Phone (972) 864-7353

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

19502 McKay Dr
Ste 101
Humble, TX 77338
Phone (281) 312-6900

23920 Katy Fwy
Ste 200
Katy, TX 77494
Phone (281) 644-3200

21720 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 492-1234

9720 Coit Rd
Ste 220341
Plano, TX 75025

1701 Ohio Dr
Plano, TX 75093
Phone (214) 291-3000

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

1001 Medical Plaza Dr
#A
Spring, TX 77380

17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600

25312 Interstate 45 N
The Woodlands, TX 77386
Phone (281) 602-8960

Organizations & group practices 6

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": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1811274376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WESTGROVE CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKATUBIA",
        "first_name": "KATUBIYA",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "141611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.