Aristeidie Diveris

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Practice address

660 N Westmoreland Rd
Lake Forest, IL 60045-1659

Phone

(847) 535-6100

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priority Anesthesia LLCGroup PAC ID 2264780360, 8 clinicians

Premiere Anesthesia Group LLCGroup PAC ID 6608187810, 17 clinicians

Ireland Anesthesia Management LLCGroup PAC ID 4284130345, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ireland Anesthesia Management LLC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1376435198
  Medicare reassignment Care Compare group NPD
• Premiere Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Park Ridge, IL
  • NPI 1720467392
  Medicare reassignment Care Compare group NPD
• Priority Anesthesia LLC

  • Anesthesiology Physician
  • Park Ridge, IL
  • NPI 1285174557

  WI

  Medicare reassignment Care Compare group NPD
• Polykarpos Anesthesia LLC

  • Anesthesiology Physician
  • Pleasant Prairie, WI
  • NPI 1154850972
  Medicare reassignment Authorized official
• Ashland Medical Specialist Inc

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1033455118
  Medicare reassignment NPD
• Associated Healthcare Group

  • Anesthesiology Physician
  • Arlington Heights, IL
  • NPI 1972373405
  Medicare reassignment NPD
• Illinois Bone & Spine Institute

  dba Illinois Back & Neck Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Elmhurst, IL
  • NPI 1417385790
  Medicare reassignment NPD
• Oak Brook Anesthesiologists, LTD.

  • Anesthesiology Physician
  • Oak Brook, IL
  • NPI 1881705937
  Medicare reassignment NPD
• Town Square Anesthesia LLC

  • Anesthesiology Physician
  • Woodstock, IL
  • NPI 1669471017
  Medicare reassignment NPD
• Brookfield Anesthesiologists, S.C.

  • Anesthesiology Physician
  • Brookfield, WI
  • NPI 1942257902
  Medicare reassignment NPD
• The Pain Center of Illinois Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1053588079
  NPD
• Anesthesia Consultants LTD

  • Anesthesiology Physician
  • Lake Forest, IL
  • NPI 1952336281
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1013926112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-535-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVERIS",
        "first_name": "ARISTEIDIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Diluciano
• David Michael Dimauro, PA-C
• Jennifer Dimond, MD
• Mary Belluomini Dipietro, RD, LDN
• Jeffrey S Dirst, CRNA
• Ken Dizon
• Nancy M Doherty, NP
• Jana Jean Donahue
• Pamela Donlan, MD
• Jeffrey N. Dooley, A.T.C.

• Anesthesiology Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.

Verify at the official NPI Registry.