Individual provider Active NPI

Daniel Gideon

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1972001360
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
819991 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 927-1417
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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 819991 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

3506 Kensington PL
Amarillo, TX 79121-1689
Phone (806) 679-2863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719001456 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103173331 Reassigns benefits to 6 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
Patriot AnesthesiaGroup PAC ID 6608139308, 5 clinicians
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians
McOn Anesthesia PLLCGroup PAC ID 3173008059, 53 clinicians

Practice addresses (Care Compare)

1007 2ND St
Abernathy, TX 79311-3615
Phone (817) 516-8811

3300 Oak Lawn Ave
Suite 200
Dallas, TX 75219-4265
Phone (214) 252-3501

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (800) 411-7515

Hospital & facility affiliations

  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

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, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
819991TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Anesthesia Consultants, PLLC CurrentSince May 1, 2019 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2020 Accepting new patients
Independent Physicians Network PLLC CurrentSince Dec 1, 2019 Accepting new patients
Jason Hemmerich MD PA CurrentSince Jan 24, 2023 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2020 Accepting new patients
Patriot Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
Texas Anesthesia Partners, PLLC Past Accepting new patients
Reg Martin MD PA Past Accepting new patients

Locations

7100 W 9th Ave
Amarillo, TX 79106
Phone (806) 212-0247

1010 S Coulter St
Amarillo, TX 79106
Phone (806) 418-8870

6819 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 351-1560

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

3501 S Soncy Rd
Ste 118
Amarillo, TX 79119
Phone (806) 351-1560

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

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

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

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

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

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

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

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

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

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

Organizations & group practices 9

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1972001360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 KENSINGTON PL",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211689",
            "telephone_number": "806-679-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-927-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDEON",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "819991",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 2018; 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.