Active NPI
Aaron Daniel Kallsnick, M.D.
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 64206
- Practice address
- 5645 W Addison St
Chicago, IL 60634-4403 - Phone
- (773) 282-7000
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Anesthesiology, WI
-
- Anesthesiology Physician
- Pleasant Prairie, WI
- NPI 1821831975
Anesthesiology, WI
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Anesthesiology, IL
-
- Anesthesiology Physician
- Brookfield, WI
- NPI 1558195719
Anesthesiology
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1801620067
Anesthesiology
-
- Endoscopy Clinic/Center
- Glen Burnie, MD
- NPI 1396798930
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1124167499
Anesthesiology
-
- Gastroenterology Physician
- Baltimore, MD
- NPI 1700839347
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Racine Anesthesia Services LLCVituity-Wisconsin Anesthesia SC
Practice addresses (Care Compare)
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4392
9697 Saint Catherines Dr
Pleasant Prairie, WI 53158-2118
Phone (262) 653-5330
Hospital & facility affiliations
- Ascension All Saints Hospital
- Froedtert South Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110907001127 | IL | Practitioner - Anesthesiology | 3577656487 | Reassigns benefits to 1 organization |
| I20150820011577 | WI | Practitioner - Anesthesiology | 3577656487 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.127038 | IL | MD | Anesthesiology Physician |
| 64206 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Racine Anesthesia Services, LLC | Anesthesiology | Current | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients | |
| Medstar Health Anesthesia Services C, LLC | Anesthesiology | Past | Accepting new patients |
| Endocentre at Quarterfield Station | Past | Accepting new patients | |
| Woodholme Gastroenterology Assoc PA | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
9697 Saint Catherines Dr
Pleasant Prairie, WI 53158
Phone (262) 577-8141
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
Interoperability endpoints
- akallsnick862805@direct.froedtert.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036.127038 | IL | |
| Anesthesiology Physician | 207L00000X | 64206 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5645 W Addison St
Chicago, IL 60634-4403
Mailing address
1301 W 22ND St
#610
Oak Brook, IL 60523-2006
Phone (630) 537-1720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2022.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1003011966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W 22ND ST",
"address_2": "#610",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232006",
"telephone_number": "630-537-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344403",
"telephone_number": "773-282-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLSNICK",
"first_name": "AARON",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036.127038",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "64206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.