SUDERMAN ANESTHESIA INC
NPI 1295073252
Nurse Anesthetist, Certified Registered in Pueblo, CO

Active since January 26, 2013
4026 JERRY MURPHY RD, PUEBLO, CO 81001(719) 630-3937(719) 635-3578 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Suderman Anesthesia Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUDERMAN ANESTHESIA INC (NPI 1295073252) is a healthcare organization registered as a nurse anesthetist, certified registered in Pueblo, Colorado and active in the NPI registry since January 2013. The organization maintains 2 additional practice locations and lists Craig K Suderman, President, as its authorized official.

NPPES Registry Identity

NPI1295073252
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSUDERMAN ANESTHESIA INC
Location Address4026 JERRY MURPHY RDPueblo, CO 81001-1045
Mailing AddressPo Box 3750Salt Lake City, UT 84110-3750 · (800) 880-3566 · Fax (770) 701-6676
Fax(719) 635-3578
Organization SubpartNo
Authorized OfficialCraig K SudermanPresident · (800) 880-3566
Enumeration DateJanuary 26, 2013
Last NPPES UpdateOctober 25, 20192 updates tracked since enumeration
✔ NPI 1295073252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4026 JERRY MURPHY RD, Pueblo, CO 81001

Secondary Practice Locations 2

Location 1595 Chapel Hills Dr, Suite 301Colorado Springs, CO 80920-1022 · Phone (719) 955-1237
Location 210520 El Diente CtEnglewood, CO 80112 · Phone (720) 524-1001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suderman Anesthesia Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20130413000011Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suderman Anesthesia Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1730157595
4026 JERRY MURPHY RD
Pueblo, CO 81001
(719) 630-3937
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suderman Anesthesia Inc's NPI number?

The NPI number for Suderman Anesthesia Inc is 1295073252. It was assigned to this organization in the NPPES registry on January 26, 2013.

Where is Suderman Anesthesia Inc located?

Suderman Anesthesia Inc is located at 4026 Jerry Murphy Rd, Pueblo, CO 81001. The listed phone number is (719) 630-3937.

What is Suderman Anesthesia Inc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Suderman Anesthesia Inc enrolled in Medicare?

Yes. Suderman Anesthesia Inc is registered in the Medicare PECOS enrollment system.

When is Suderman Anesthesia Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Suderman Anesthesia Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Suderman Anesthesia Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suderman Anesthesia Inc was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.