Individual provider Active NPI

Chad Riddle, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1023100831
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28279632A Issued in IN
Practice address
4034 Saint Ives CT
Louisville, KY 40207-3814
Phone
(502) 640-8349
Fax
(502) 749-9202
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28279632A IN Primary
Certified Registered Nurse Anesthetist 367500000X 1092142 KY

Addresses

Primary practice location

4034 Saint Ives CT
Louisville, KY 40207-3814

Mailing address

PO Box 6899
Louisville, KY 40206-0899
Phone (502) 640-8349

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060126000203 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325052673 Reassigns benefits to 4 organizations
I20230329001197 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325052673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians

Practice addresses (Care Compare)

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1092142KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince May 1, 2023 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2023 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2023 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2023 Accepting new patients
Universal Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 27, 2023 Accepting new patients
Louisville Anesthesia Provision LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2015 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 11, 2023 Accepting new patients
Anesthesia Care Enterprises, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Kentucky, PLLC Past Accepting new patients
Metric Anesthesia Consultants PLLC PastSince Jan 24, 2011 Accepting new patients

Locations

12595 Hesperia Rd
Victorville, CA 92395
Phone (760) 881-3377

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

3423 Solutions Ctr
Chicago, IL 60677

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3602 Northgate Ct
Ste 39
New Albany, IN 47150
Phone (812) 670-5684

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890

99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2000 Tunnel Hill Rd
Elizabethtown, KY 42701
Phone (270) 304-2520

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

100 London Mountain View Dr
Fl 1
London, KY 40741
Phone (859) 275-5229

252 Whittington Pkwy
Louisville, KY 40222
Phone (502) 423-7246

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

4130 Dutchmans Ln
Ste 300
Louisville, KY 40207

1230 S Hurstbourne Pkwy
Ste 120
Louisville, KY 40222
Phone (502) 425-3225

4004 DuPont Cir
Louisville, KY 40207
Phone (502) 896-6428

131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1023100831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6899",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402060899",
            "telephone_number": "502-640-8349",
            "fax_number": "502-749-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 SAINT IVES CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073814",
            "telephone_number": "502-640-8349",
            "fax_number": "502-749-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "CHAD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28279632A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1092142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.