GENESIS SONG BANGHA CRNA
NPI 1366858169
Nurse Anesthetist, Certified Registered in Lexington, KY

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6100 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genesis Song Bangha Crna NPPES

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

GENESIS SONG BANGHA CRNA (NPI 1366858169) is an individual nurse anesthetist, certified registered in Lexington, Kentucky, licensed in Texas (1101538) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Mountain View Regional Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1366858169
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGENESIS SONG BANGHACredential: CRNA
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address1740 Nicholasville RdLexington, KY 40503-1431
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 1, 2014
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1366858169 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
Licenses✔ Licensed in TX · 1101538✔ Licensed in NC · 7801✔ Licensed in SC · 102393
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.
1740 NICHOLASVILLE RD, Lexington, KY 40503

Secondary Practice Location 1

Location 112222 Merit Dr Ste 600Dallas, TX 75251-3294 · Phone (972) 715-5000 · Fax (972) 715-9976

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Genesis Song Bangha Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658696273
PECOS Enrollment IDI20230625000080, I20250820001762, I20251030000666
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Genesis Bangha reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1740 NICHOLASVILLE RD
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Central Kentucky Anesthesia P.S.C.
  • 117 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1912 TRADD CT
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 335 clinicians in this Medicare group
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
Emergency Medicine
4311 E LOHMAN AVE
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 238 clinicians in this Medicare group
Anesthesiology
2000 TRANS MOUNTAIN RD
El Paso, TX 79911
  • Reassigned Medicare billing, Texas enrollment
  • 196 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
22 services21 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
18 services17 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
13 services13 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

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 Genesis Bangha's NPI number?

The NPI number for Genesis Bangha is 1366858169. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Genesis Bangha located?

Genesis Bangha practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6100.

What is Genesis Bangha's specialty?

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

Is Genesis Bangha enrolled in Medicare?

Yes. Genesis Bangha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Genesis Bangha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genesis Bangha reassigns Medicare benefits to 6 organizations: Central Kentucky Anesthesia Psc (Lexington, KY), Novant Health New Hanover Regional Medical Center LLC (Wilmington, NC), Texas Ams PLLC (Pensacola, FL), U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX), Las Cruces Hb Medical Services LLC (Las Cruces, NM) and 1 more organization, listed in the Medicare section above. Each 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 Genesis Bangha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Genesis Bangha accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Genesis Bangha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Genesis Bangha affiliated with any hospitals?

According to CMS data, Genesis Bangha is affiliated with Mountain View Regional Medical Center, Novant Health New Hanover Regional Medical Center, Memorial Hermann - Texas Medical Center, Las Palmas Medical Center A Campus Of Lpds Healthc and Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Genesis Bangha was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.