Individual provider Active NPI

Manuel A Fish, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1932345857
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
633514 Issued in TX
Practice address
6606 LBJ Fwy
Ste 200
Dallas, TX 75240
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Dec 23, 2008
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 633514 TX Primary

Addresses

Primary practice location

6606 LBJ Fwy
Ste 200
Dallas, TX 75240

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
633514OtherTXSTATE LICENSE
18463990OtherTXTEXAS DL
202812801MedicaidTX
89825UOtherTXBCBS
P00738269OtherTXRAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000150 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335205236 Reassigns benefits to 4 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)

3901 W 15TH St
Greater Houston Anesthesiology
Plano, TX 75075-7738
Phone (972) 519-1115

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2014 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Orthomed Staffing LLC CurrentSince Mar 1, 2021 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2014 Accepting new patients
Luxe Anesthesia, PLLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

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

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

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

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

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

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

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

400 W Lyndon B Johnson Fwy
Ste 101
Irving, TX 75063
Phone (972) 868-4000

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

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

4510 Medical Center Dr
McKinney, TX 75069
Phone (214) 491-6365

2905 Pine Mill Rd
Paris, TX 75460
Phone (903) 272-9924

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

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

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

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1932345857",
    "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": "6606 LBJ FWY",
            "address_2": "STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "MANUEL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-23",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "633514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "633514",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DL",
            "identifier": "18463990",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202812801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89825U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00738269",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.