MRS. KATHRYN ROSE TABLIZO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1215918370

MRS. KATHRYN ROSE TABLIZO (CRNA) is a healthcare provider. based in San antonio, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 644585 (TX). The NPI Number for MRS. KATHRYN ROSE TABLIZO (CRNA) is 1215918370

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHRYN ROSE TABLIZO (CRNA)
NPI
1215918370
Phone
(210) 567-4500
Address
4502 Medical Dr
Enumeration Date
7 November 2005
Last Update Date
13 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173373671
Graduation Year
1996 (30 years ago)
PAC ID
2769617679
Group Practice PAC ID
4789845363
Professional Enrollment ID
I20131031000913
Address ID
TX750224234FL1001XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for MRS. KATHRYN ROSE TABLIZO (CRNA)

  • 4502 Medical Dr

    San Antonio, TX 782294402

    Phone: (210) 567-4500

    Fax: (210) 567-0083

    Type: Location

  • 11126, Elk Park, Parkwood, San Antonio, Bexar County, Texas, 78249, United States

    SAN ANTONIO, TX 782494243

    Phone: (210) 694-4558

    Type: Mailing

  • 3851 ROGER BROOKE DR

    MCHE-QD (CREDENTIALS)

    FORT SAM HOUSTON, TX 78234

    Phone: (210) 916-1222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($19).

Total Amount

$46

General + Research + Ownership

Payments

3

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131031000913ICertified Registered Nurse Anesthetist (Crna)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope106106$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope6969$0
00813Anesthesia for procedure on small and large bowel using an endoscope5656$0
00812Anesthesia for exam of colon using an endoscope5151$0
View full utilization report →

Insurance plans in this area (ZIP 78229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789845363View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)HI
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KATHRYN ROSE TABLIZO (CRNA)?
NPI 1215918370 is assigned to MRS. KATHRYN ROSE TABLIZO (CRNA) under the national enumeration system.
Is MRS. KATHRYN ROSE TABLIZO (CRNA) active in the national directory?
MRS. KATHRYN ROSE TABLIZO (CRNA)'s public NPI profile is in an active state.
Can you summarize MRS. KATHRYN ROSE TABLIZO (CRNA)'s specialty in plain language?
Clinically, the directory lists MRS. KATHRYN ROSE TABLIZO (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. KATHRYN ROSE TABLIZO (CRNA)?
The snapshot lists San Antonio, Texas for MRS. KATHRYN ROSE TABLIZO (CRNA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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