Active NPI
Danuta Gwarnicka, MD
- Anesthesiology Physician
- Ottawa, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036-108036
- Practice address
- 1100 E Norris Drive
Ottawa, IL 61350 - Phone
- (815) 433-3100
- NPI assigned
- Oct 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-108036 | IL | Primary |
Addresses
Primary practice location
1100 E Norris Drive
Ottawa, IL 61350
Mailing address
1100 E Norris Drive
Ottawa, IL 61350
Phone (815) 433-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108036 | Medicaid | IL |
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
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.77 of 100
- Quality
- 85.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-108036 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Anesthesiology | Current | Accepting new patients |
| Marion Surgery Center LTD | Past | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1043757487
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
- Ambulatory Surgical Clinic/Center
- Marion, IL
- NPI 1962468967
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1154414126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E NORRIS DRIVE",
"city": "OTTAWA",
"state": "IL",
"postal_code": "61350",
"telephone_number": "815-433-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E NORRIS DRIVE",
"city": "OTTAWA",
"state": "IL",
"postal_code": "61350",
"telephone_number": "815-433-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWARNICKA",
"first_name": "DANUTA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-108036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108036",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.