KPOBARI KPONI CRNA
NPI 1396492765
Nurse Anesthetist, Certified Registered in San Antonio, TX

Active since March 07, 2022Accepts Medicare Assignment
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212(210) 757-2200 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2024, Mar 7, 2022 (2 updates tracked since 2022).

About Kpobari Kponi Crna NPPES

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

KPOBARI KPONI CRNA (NPI 1396492765) is an individual nurse anesthetist, certified registered in San Antonio, Texas, licensed in Texas (1152594) and active in the NPI registry since March 2022. He maintains a secondary practice location in San Antonio and is a graduate of Lincoln Memorial University Medical Department (2023).

NPPES Registry Identity

NPI1396492765
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKPOBARI KPONICredential: CRNA
Location Address1310 MCCULLOUGH AVESan Antonio, TX 78212-5601
Mailing Address9210 Belle Glen DrHouston, TX 77099-1941 · (210) 772-6572
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2023
Enumeration DateMarch 7, 2022
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1396492765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 1152594
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 915386 (TX)
1310 MCCULLOUGH AVE, San Antonio, TX 78212

Secondary Practice Location 1

Location 18658 Bristlecone StSan Antonio, TX 78240-3727 · Phone (210) 772-6572

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

Kpobari Kponi 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 ID6608210133
PECOS Enrollment IDI20240222003684

Medicare Billing Reassignments

5

Medicare enrollment records show Kpobari Kponi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1215 E COURT ST
Seguin, TX 78155
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
Anesthesiology
8140 N MOPAC EXPY STE 3-210
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 840 clinicians in this Medicare group
Anesthesiology
7101 S PADRE ISLAND DR
Corpus Christi, TX 78412
  • Reassigned Medicare billing, Texas enrollment
  • 740 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
3000 S JAMAICA CT STE 140
Aurora, CO 80014
  • Reassigned Medicare billing, Texas enrollment
  • 54 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Emergency Medicine
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Hospitalist
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Physical Therapist
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Nurse Practitioner (Family)
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Hospitalist
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Physician Assistant
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Physician Assistant
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Psychiatry & Neurology (Neurology)
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212

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 Kpobari Kponi's NPI number?

The NPI number for Kpobari Kponi is 1396492765. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Kpobari Kponi located?

Kpobari Kponi practices at 1310 Mccullough Ave, San Antonio, TX 78212. The listed phone number is (210) 757-2200.

What is Kpobari Kponi's specialty?

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

Is Kpobari Kponi enrolled in Medicare?

Yes. Kpobari Kponi 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 Kpobari Kponi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kpobari Kponi reassigns Medicare benefits to 5 organizations: Anesthesia Associates Of Seguin PLLC (Seguin, TX), Austin Anesthesiology Group, PLLC (Austin, TX), Northstar Anesthesia III PA (Corpus Christi, TX), Texas Ams PLLC (Pensacola, FL) and Cpr Anesthesia, Inc (Aurora, CO). 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 Kpobari Kponi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kpobari Kponi accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Kpobari Kponi 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.

When was this NPI record last updated?

The NPPES record for Kpobari Kponi was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.