Roni Aizigov, CRNA, NP-C
Individual provider Active NPI Certified Registered Nurse Anesthetist · Granger, IN
NPI 1174876577 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1174876577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 28206614A (IN)
- Practice address
- 51050 Bittersweet Rd Ste B
Granger, IN 46530-7879 - Phone
- (718) 208-0446
- Fax
- (574) 244-0240
- NPI assigned
- Oct 23, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Joseph Regional Medical Center-South Bend Campus Inc
Cep America - Anesthesia PC
Practice addresses (Care Compare)
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130412000298 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658517834 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011097A | IN | MD | Nurse Practitioner |
| 28206614A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jebs Anesthesia Consultants, LLC | Current |
Accepting new patients | |
| Cep America - Anesthesia PC | Current |
Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Spine & Orthopedic Medicine, Inc | Current |
Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current |
Accepting new patients | |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cep America - Anesthesia PC | Current |
Accepting new patients | |
| Southeast Anesthesiologists, Inc. | Current |
Accepting new patients | |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Granger Surgery Center LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Cardinal Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| La Porte County Anesthesia Associates LLC | Current |
Accepting new patients | |
| Principal Anesthesia LLC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
51050 Bittersweet Rd
Ste B
Granger, IN 46530
Phone (574) 255-7246
51050 Bittersweet Rd
Granger, IN 46530
Phone (718) 208-0446
8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261
900 I St
Laporte, IN 46350
Phone (219) 324-1670
301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033
301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
230 E Day Rd
Ste 180
Mishawaka, IN 46545
Phone (574) 214-7504
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71011097A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 28206614A | IN | Yes |
Addresses
Primary practice location
51050 Bittersweet Rd Ste B
Granger, IN 46530-7879
Mailing address
50653 Hollybrook Dr
Granger, IN 46530-4947
Phone (718) 208-0446
Other providers in Granger, IN
- Lynn Kamiak Acosta
- Advance Dentures of Michiana
- Advanced Physical Therapy, LLC
- Airway & Midface Development, LLC
- Iga Aizigov
- Abdulhamid Dahan Al-Fadhl
- Mahmoud Al-Fadhl
- Align to Health
- Allcare Dental & Dentures of in PC
- Rebecca L Allen-Legault
All providers in Granger, IN · Certified Registered Nurse Anesthetist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.