KATUBIYA B BAKATUBIA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1811274376

KATUBIYA B BAKATUBIA (CRNA) is a healthcare provider. based in Mansfield, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 141611 (TX). The NPI Number for KATUBIYA B BAKATUBIA (CRNA) is 1811274376

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KATUBIYA B BAKATUBIA (CRNA)
NPI
1811274376
Phone
Not provided
Address
10 WESTGROVE CT
Enumeration Date
11 November 2011
Last Update Date
23 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4692975481
Graduation Year
2011 (15 years ago)
PAC ID
5092975391
Group Practice PAC ID
6002220464
Professional Enrollment ID
I20120323000268
Address ID
TX751461114LA2600XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for KATUBIYA B BAKATUBIA (CRNA)

  • 10 WESTGROVE CT

    MANSFIELD, TX 760635007

    Phone:

    Type: Mailing

  • 3901 W 15TH ST

    PLANO, TX 750757738

    Phone: (972) 596-6800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($64).

Total Amount

$82

General + Research + Ownership

Payments

4

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2012-03-23

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
I20120323000268ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76063)

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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: 6002220464View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)TX
Emergency MedicineTX
Emergency MedicineNY
Emergency MedicineTX
Certified Registered Nurse Anesthetist (Crna)TX
Emergency MedicineTX
Certified Registered Nurse Anesthetist (Crna)MO
Emergency Medicine, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How do payers reference KATUBIYA B BAKATUBIA (CRNA)?
For KATUBIYA B BAKATUBIA (CRNA), use NPI 1811274376 as the unique 10-digit identifier.
Active or inactive — what applies to KATUBIYA B BAKATUBIA (CRNA)?
You should see KATUBIYA B BAKATUBIA (CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with KATUBIYA B BAKATUBIA (CRNA)?
KATUBIYA B BAKATUBIA (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is KATUBIYA B BAKATUBIA (CRNA) located near Mansfield?
KATUBIYA B BAKATUBIA (CRNA) currently maps to Mansfield, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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