Individual provider Active NPI

Maria N. Quartetti, MD

  • Anesthesiology Physician
  • St Charles, IL
National Provider Identifier
1114062353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
5N144 Maple CT
St Charles, IL 60175-6259
Phone
(630) 208-4060
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X IL Primary

Addresses

Primary practice location

5N144 Maple CT
St Charles, IL 60175-6259

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000462 IL Practitioner - Anesthesiology 6204005606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollo Medical Group of Illinois LLCGroup PAC ID 4880036078, 22 clinicians

Practice addresses (Care Compare)

2475 Dean St
St Charles, IL 60175-4831
Phone (630) 584-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-085548ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Ambulatory Surgery Center, LP Current Accepting new patients
Valley Ambulatory Surgery Center Anesthesiology LTD Anesthesiology CurrentSince Aug 11, 2015 Accepting new patients
Apollo Medical Group of Illinois LLC Anesthesiology CurrentSince Jan 2, 2025 Accepting new patients
Kane Anesthesia Associates, SC Anesthesiology Past Accepting new patients

Locations

3034 W Peterson Ave
Chicago, IL 60659
Phone (773) 973-7432

2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397

2475 Dean St
St Charles, IL 60175
Phone (630) 584-9800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114062353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5N144 MAPLE CT",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756259",
            "telephone_number": "630-208-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTETTI",
        "first_name": "MARIA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.