NPIMap

Organization Active NPI

Vigilance Anesthesiologists & Pain Specialists PC

  • Certified Registered Nurse Anesthetist
  • Crown Point, IN
National Provider Identifier
1013475375
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
VIGILANCE ANESTHESIOLOGISTS & PAIN SPECIALISTS PC
Practice address
5363 Commerce Blvd
Crown Point, IN 46307-5325
Phone
(219) 756-0600
NPI assigned
Mar 6, 2019
Last updated
Jun 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter Pollachek, CRNANPI 1912902040
Title
Owner
Phone
(708) 805-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

5363 Commerce Blvd
Crown Point, IN 46307-5325

Mailing address

PO Box 70
Lake Forest, IL 60045-0070
Phone (800) 444-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190415000971 IL Part B Supplier - Clinic/Group Practice 4284975541 Receives reassigned benefits from 15 practitioners
Practice locations: Bourbonnais, IL; Watseka, IL
O20190514000737 IN Part B Supplier - Clinic/Group Practice 4284975541 Receives reassigned benefits from 7 practitioners
Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory
Tax ID family
Vigilance Anesthesiologists and Pain Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

963 N Convent St
#2
Bourbonnais, IL 60914
Phone (815) 933-1633

2834 N Lincoln Ave
Chicago, IL 60657
Phone (773) 472-1882

901 Biesterfield Rd
Ste 105
Elk Grove Vlg, IL 60007
Phone (847) 228-9898

5101 Washington St
Gurnee, IL 60031
Phone (847) 802-8992

2200 W Higgins Rd
Ste 230
Hoffman Estates, IL 60169
Phone (262) 215-3959

123 N Waukegan Rd
Ste 300
Lake Bluff, IL 60044
Phone (847) 362-0100

1607 Visa Dr
Ste 2A
Normal, IL 61761
Phone (309) 452-3000

255 E 90th Dr
Ste W1
Merrillville, IN 46410
Phone (219) 791-0543

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1013475375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450070",
            "telephone_number": "800-444-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 COMMERCE BLVD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075325",
            "telephone_number": "219-756-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANCE ANESTHESIOLOGISTS & PAIN SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "POLLACHEK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-805-8900",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.