Active NPI
Jennifer A Bartlett, MD
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036126429
- Practice address
- 1120 South Dr
Dept of Anesthes, Iu School of Med, Fesler Hall RM 204
Indianapolis, IN 46202-5135 - Phone
- (317) 312-0055
- NPI assigned
- May 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01063637A | IN | |
| Anesthesiology Physician | 207L00000X | 036126429 | IL | Primary |
Addresses
Primary practice location
1120 South Dr
Dept of Anesthes, Iu School of Med, Fesler Hall RM 204
Indianapolis, IN 46202-5135
Mailing address
1120 South Dr
Dept of Anesth, Iu School of Med, Fesler Hall RM 204
Indianapolis, IN 46202-5135
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Southern Illinois University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000
333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133
77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200
812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000
Hospital & facility affiliations
- Osf Sacred Heart Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036126429 | IL | MD | Anesthesiology Physician |
| 01063637A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of Urbana | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of Illinois, LLC | Anesthesiology | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Family Medicine Physician
- Monticello, IL
- NPI 1386635373
-
- Critical Access Hospital
- Monticello, IL
- NPI 1730179847
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1326224270
-
- Anesthesiology Physician
- Alpharetta, GA
- NPI 1528098357
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1124286653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SOUTH DR",
"address_2": "DEPT OF ANESTH, IU SCHOOL OF MED, FESLER HALL RM 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SOUTH DR",
"address_2": "DEPT OF ANESTHES, IU SCHOOL OF MED, FESLER HALL RM 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025135",
"telephone_number": "317-312-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-31",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01063637A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036126429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.