1. Home
  2. Directory
  3. Ohio
  4. Kettering
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

SANDRA BONTATIBUS CRNA
NPI 1639258791
Nurse Anesthetist, Certified Registered in Kettering, OH

Active since November 02, 2006Accepts Medicare Assignment
3535 SOUTHERN BLVD, KETTERING, OH 45429(513) 839-0903 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandra Bontatibus Crna NPPES

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

SANDRA BONTATIBUS CRNA (NPI 1639258791) is an individual nurse anesthetist, certified registered in Kettering, Ohio, licensed in Ohio (246893) and active in the NPI registry since November 2006. She is affiliated with Kettering Health Main Campus and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639258791
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSANDRA BONTATIBUSCredential: CRNA
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address4907 Sweetbell CtDayton, OH 45424-4825 · (513) 839-0903
Phone(513) 839-0903
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1639258791 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
License✔ Licensed in OH · 246893
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.
3535 SOUTHERN BLVD, Kettering, OH 45429
Open in Google Maps ↗

Other Identifiers 1

Medicaid2724305OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Paramount.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

Sandra Bontatibus 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 ID3779687462
PECOS Enrollment IDI20070406000313

Medicare Billing Reassignments

6

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

Anesthesiology Services Network Ltd
3.3 mi
Anesthesiology
1 WYOMING ST.
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
NPI 1821076779 (937) 208-4380
Phs Anesthesia Billing, LLC
15 mi
Anesthesiology
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 299 clinicians in this Medicare group
NPI 1578361044 (513) 974-2111
Radius Anesthesia Of Ohio, LLC
66 mi
Anesthesiology
175 S 3RD ST STE 200
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 75 clinicians in this Medicare group
NPI 1427416585 (323) 417-0335
Arlington Anesthesia Partners LLC
67 mi
Anesthesiology
OHIOHEALTH BERGER HOSPITAL, 600 PICKAWAY ST.
Circleville, OH 43113
  • Reassigned Medicare billing, Ohio enrollment
  • 237 clinicians in this Medicare group
NPI 1578209342 (740) 474-2126
Sandusky Anesthesia LLC
67 mi
Nurse Anesthetist, Certified Registered
600 N PICKAWAY ST
Circleville, OH 43113
  • Reassigned Medicare billing, Ohio enrollment
  • 365 clinicians in this Medicare group
NPI 1770907859 (740) 420-8020
Columbus Anesthesia Services LLC
69 mi
Anesthesiology
100 E CAMPUS VIEW BLVD STE 250
Columbus, OH 43235
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group
NPI 1801461025 (888) 589-8550

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 2

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

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 Sandra Bontatibus's NPI number?

The NPI number for Sandra Bontatibus is 1639258791. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Sandra Bontatibus located?

Sandra Bontatibus practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (513) 839-0903.

What is Sandra Bontatibus's specialty?

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

Is Sandra Bontatibus enrolled in Medicare?

Yes. Sandra Bontatibus 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 Sandra Bontatibus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Bontatibus reassigns Medicare benefits to 6 organizations: Anesthesiology Services Network Ltd (Dayton, OH), Phs Anesthesia Billing, LLC (Middletown, OH), Radius Anesthesia Of Ohio, LLC (Columbus, OH), Arlington Anesthesia Partners LLC (Circleville, OH), Sandusky Anesthesia LLC (Circleville, OH) 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 Sandra Bontatibus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Bontatibus accept?

Health plans from CareSource and Paramount list Sandra Bontatibus 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 Sandra Bontatibus affiliated with any hospitals?

According to CMS data, Sandra Bontatibus is affiliated with Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Sandra Bontatibus was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.