Individual provider Active NPI

Stephen Sai Schandorf, CRNA

  • Certified Registered Nurse Anesthetist
  • Victoria, TX
National Provider Identifier
1902631641
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1170062 Issued in TX
Practice address
506 E San Antonio St
Victoria, TX 77901-6060
Phone
(361) 575-7441
NPI assigned
Sep 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 1170062 TX Primary

Addresses

Primary practice location

506 E San Antonio St
Victoria, TX 77901-6060

Mailing address

6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241129000012 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739614744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

101 Medical Dr
Victoria, TX 77904-3102
Phone (361) 573-6100

506 E San Antonio St
Victoria, TX 77901-6060
Phone (361) 575-7441

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

PO Box
Suite 612867
Dallas, TX 75261-2867

Hospital & facility affiliations

  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1170062TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2024 Accepting new patients

Locations

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

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

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

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 2

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 1

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1902631641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 N STATE HIGHWAY 161 STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382241",
            "telephone_number": "214-687-0001",
            "fax_number": "972-518-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E SAN ANTONIO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016060",
            "telephone_number": "361-575-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANDORF",
        "first_name": "STEPHEN",
        "middle_name": "SAI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1170062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.