Individual provider Active NPI

Susan Podlogar, CRNA

  • Certified Registered Nurse Anesthetist
  • Barrington, IL
National Provider Identifier
1013973379
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041268962 Issued in IL
Practice address
200 Fox Glen CT
Barrington, IL 60010-1809
Phone
(847) 382-7165
Fax
(847) 713-8160
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041268962 IL Primary

Addresses

Primary practice location

200 Fox Glen CT
Barrington, IL 60010-1809

Mailing address

200 Fox Glen CT
Barrington, IL 60010-1809
Phone (847) 382-7165

Other practice location 1

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 490-2923

Other identifiers 1

IdentifierTypeStateIssuer
F400446447OtherILMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041119001132 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335104298 Reassigns benefits to 2 organizations
I20200130000062 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335104298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gip Anesthesia Services PLLCGroup PAC ID 4688043177, 7 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 312
Lake Barrington, IL 60010-2541
Phone (847) 382-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041268962ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gip Anesthesia Services PLLC CurrentSince Apr 1, 2023 Accepting new patients
Anesthesia Partners Services, S.C. CurrentSince Jan 1, 2020 Accepting new patients
Aspen Anesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 27, 2019 Accepting new patients
Medical Center Anesthesia, LTD. Past Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

22285 N Pepper Rd
Lake Barrington, IL 60010
Phone (224) 357-8133

22285 N Pepper Rd
Ste 312
Lake Barrington, IL 60010
Phone 84738206793336

1105 W Park Ave
Ste 1
Libertyville, IL 60048
Phone (847) 680-5880

1880 W Winchester Rd
Ste 104
Libertyville, IL 60048

2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506

2801 W Kinnickinnic River Pkwy
Ste 1030
Milwaukee, WI 53215
Phone (414) 649-5200

88948 Box
Milwaukee, WI 53288

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013973379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101809",
            "telephone_number": "847-382-7165",
            "fax_number": "847-713-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101809",
            "telephone_number": "847-382-7165",
            "fax_number": "847-713-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Barrington Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601691019",
            "country_code": "US",
            "telephone_number": "847-490-2923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODLOGAR",
        "first_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041268962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400446447",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.