Individual provider Active NPI

Johnson M De San Andres, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1972607224
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
649588 Issued in TX
Practice address
16019 Greenwood Pines Dr
Houston, TX 77062-4735
Phone
(281) 799-6719
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners of Colorado 99 clinicians
Eastern Maine Medical Center 659 clinicians

Practice addresses (Care Compare)

320 Beard Creek Rd
Edwards, CO 81632-6433
Phone (970) 569-7400

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Vail Health Hospital Hospital, Vail, CO, CCN 060096
  • Baytown Medical Center LP Hospital, Baytown, TX, CCN 670109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080708000516 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052494770 Reassigns benefits to 5 organizations
I20251016003586 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052494770 Reassigns benefits to 1 organization
I20260312000666 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052494770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
649588TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Anesthesia Providers PLLC CurrentSince Jan 24, 2020 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2025 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2026 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 30, 2026 Accepting new patients
Anesthesia Partners of Colorado CurrentSince Nov 3, 2025 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2026 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 30, 2026 Accepting new patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2025 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients
Medical Anesthesia Associates, LLP Past Accepting new patients

Locations

320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

489 State St
Bangor, ME 04401
Phone (207) 973-8837

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

4126 Southwest Fwy
Ste 108
Houston, TX 77027
Phone (713) 622-4995

4120 Southwest Fwy
Ste 100
Houston, TX 77027
Phone (713) 626-8500

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

1631 North Loop W
Ste 300
Houston, TX 77008
Phone (713) 343-1080

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

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

111 Vision Park Blvd
Ste 200
Shenandoah, TX 77384
Phone (936) 242-1924

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

15860 Old Conroe Rd
The Woodlands, TX 77384
Phone (936) 253-1830

333 N Texas Ave
Webster, TX 77598
Phone (281) 335-1700

333 N Texas Ave
Ste 1000
Webster, TX 77598
Phone (281) 557-5620

1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 649588 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

16019 Greenwood Pines Dr
Houston, TX 77062-4735

Mailing address

16019 Greenwood Pines Dr
Houston, TX 77062-4735
Phone (282) 817-9967

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
130154107MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2026.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1972607224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16019 GREENWOOD PINES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770624735",
            "telephone_number": "282-817-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16019 GREENWOOD PINES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770624735",
            "telephone_number": "281-799-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SAN ANDRES",
        "first_name": "JOHNSON",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "649588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130154107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.