Individual provider Active NPI

Scott M Sondgerath, CRNA

  • Certified Registered Nurse Anesthetist
  • Otterbein, IN
National Provider Identifier
1114006137
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28115782 Issued in IN
Practice address
5487 N 1000 E
Otterbein, IN 47970-8080
Phone
(765) 583-2765
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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 28115782 IN Primary

Addresses

Primary practice location

5487 N 1000 E
Otterbein, IN 47970-8080

Mailing address

5487 N 1000 E
Otterbein, IN 47970-8080
Phone (765) 583-2765

Other identifiers 1

IdentifierTypeStateIssuer
000001075174OtherINANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000985 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476570714 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Arnett Clinic LLCGroup PAC ID 0749184380, 401 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28115782INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Arnett Clinic, LLC CurrentSince May 1, 2017 Accepting new patients
Arnett Clinic, LLC CurrentSince May 1, 2017 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2011 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2600 Greenbush St
Lafayette, IN 47904

720 S 6th St
Monticello, IN 47960
Phone (574) 583-1776

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Organizations & group practices 7

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1114006137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5487 N 1000 E",
            "city": "OTTERBEIN",
            "state": "IN",
            "postal_code": "479708080",
            "telephone_number": "765-583-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5487 N 1000 E",
            "city": "OTTERBEIN",
            "state": "IN",
            "postal_code": "479708080",
            "telephone_number": "765-583-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDGERATH",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28115782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000001075174",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Otterbein, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.