Active NPI
Micheal Dean Ports, CRNA
- Certified Registered Nurse Anesthetist
- Marble Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP112725
- Practice address
- 810 W Highway 71
Marble Falls, TX 78654-8602 - Phone
- (830) 201-8000
- NPI assigned
- Aug 24, 2005
- Last updated
- Jun 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 601843 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP112725 | TX | Primary |
Addresses
Primary practice location
810 W Highway 71
Marble Falls, TX 78654-8602
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Other practice location 1
520 E 6th St
Odessa, TX 79761-4527
Phone (432) 334-8088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86431U | Other | TX | BCBSTX |
| 167386502 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mports1186532@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111
520 E 6TH St
Odessa Reg Med Ctr
Odessa, TX 79761-4527
Phone (432) 582-8700
5609 Deauville
Midland, TX 79706-2870
Phone (432) 699-4224
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 601843 | TX | MD | Certified Registered Nurse Anesthetist |
| AP112725 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Martin County Hospital District | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Medical Group of the Permian Basin, LLP | Current | Accepting new patients | |
| Martin County Hospital District | Current | Accepting new patients | |
| Navytrained Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850
5609 Deauville
Midland, TX 79706
Phone (432) 697-3629
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200
4 Burnside
#100
Wichita Falls, TX 76310
Phone (940) 400-6400
Interoperability endpoints
- mports1186532@direct.sw.org
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Midland, TX
- NPI 1669596672
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Stanton, TX
- NPI 1679560866
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
dba Martin County Specialty Group
- Pain Management Registered Nurse
- Stanton, TX
- NPI 1477390227
-
- Certified Registered Nurse Anesthetist
- Odessa, TX
- NPI 1932870979
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1982697066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-994-0371",
"fax_number": "254-215-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W HIGHWAY 71",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786548602",
"telephone_number": "830-201-8000"
}
],
"practiceLocations": [
{
"address_1": "520 E 6th St",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "797614527",
"country_code": "US",
"telephone_number": "432-334-8088",
"fax_number": "432-580-7202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTS",
"first_name": "MICHEAL",
"middle_name": "DEAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "601843",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP112725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "86431U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167386502",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mports1186532@direct.sw.org",
"affiliation": "N",
"address_1": "810 W Highway 71",
"city": "Marble Falls",
"state": "TX",
"country_code": "US",
"postal_code": "786548602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.