Individual provider Active NPI

Thomas Eric Laver, CRNA

  • Certified Registered Nurse Anesthetist
  • Bloomington, IL
National Provider Identifier
1124205034
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209006954 Issued in IL
Practice address
11 Ann Arbor CT
Bloomington, IL 61705-8807
Phone
(312) 388-4440
NPI assigned
Jan 23, 2008
Reactivated
May 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 209006954 IL Primary

Addresses

Primary practice location

11 Ann Arbor CT
Bloomington, IL 61705-8807

Mailing address

11 Ann Arbor CT
Bloomington, IL 61705-8807
Phone (312) 388-4440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120716000069 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416015086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Anesthesia Group LLCGroup PAC ID 6608187810, 17 clinicians
Ashland Medical Specialist IncGroup PAC ID 0840438883, 5 clinicians

Practice addresses (Care Compare)

1300 N Arlington Heights Rd
Itasca, IL 60143-3108
Phone (630) 833-9621

2041 W Division St
Chicago, IL 60622-8521
Phone (312) 624-8364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209006954ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Medical Specialist Inc CurrentSince Dec 15, 2025 Accepting new patients
The Pain Center of Illinois Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aurora Professional Anesthesia Service PC Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2025 Accepting new patients
Premiere Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Priority Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lighthouse Anesthesia LLC Past Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients

Locations

1100 W Central Rd
Ste 102
Arlington Hts, IL 60005
Phone (847) 259-3080

39 S Virginia St
Crystal Lake, IL 60014
Phone (773) 321-2681

3100 W Higgins Rd
Ste 150
Hoffman Estates, IL 60169
Phone (847) 885-9525

1300 N Arlington Heights Rd
Itasca, IL 60143
Phone (630) 833-9621

230 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 367-8815

Organizations & group practices 8

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1124205034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ANN ARBOR CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617058807",
            "telephone_number": "312-388-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ANN ARBOR CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617058807",
            "telephone_number": "312-388-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVER",
        "first_name": "THOMAS",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "deactivation_date": "2022-06-21",
        "reactivation_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209006954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.