Roni Aizigov, CRNA, NP-C

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28206614A Issued in 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

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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 IncGroup PAC ID 3476451790, 65 clinicians

Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Cardinal Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Granger, IN
  • NPI 1134570153

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Mishawaka, IN
  • NPI 1306722418
  Medicare reassignment Care Compare group NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc

  dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med

  • Mobile Mammography Clinic/Center
  • South Bend, IN
  • NPI 1023844693
  Medicare reassignment Care Compare group NPD
• Great Lakes Anesthesia, P.C.

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1720039977

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Jebs Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • La Porte, IN
  • NPI 1790447761
  Medicare reassignment NPD
• La Porte County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Michigan City, IN
  • NPI 1477553634
  Medicare reassignment NPD
• Sda Consultants PLLC

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1336605500

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Southeast Anesthesiologists, Inc.

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1548210685
  Medicare reassignment NPD
• Spine & Orthopedic Medicine, Inc

  • Neuromusculoskeletal Medicine & OMM Physician
  • Granger, IN
  • NPI 1427284983
  Medicare reassignment NPD
• Principal Anesthesia LLC

  • Anesthesiology Physician
  • Munster, IN
  • NPI 1366098162
  NPD Authorized official
• Granger Surgery Center LLC

  dba Granger Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Granger, IN
  • NPI 1215675111
  NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Mishawaka, IN
  • NPI 1699132365

  Nurse Anesthetist, Certified Registered

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1023965795
  Care Compare affiliation
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1841245594
  Care Compare affiliation

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1174876577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50653 HOLLYBROOK DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304947",
            "telephone_number": "718-208-0446",
            "fax_number": "574-244-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51050 BITTERSWEET RD STE B",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307879",
            "telephone_number": "718-208-0446",
            "fax_number": "574-244-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIZIGOV",
        "first_name": "RONI",
        "credential": "CRNA, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011097A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28206614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Carl Acito, RPH
• Lynn Kamiak Acosta, LCSW
• Advance Dentures of Michiana
• Advanced Physical Therapy, LLC
• Iga Aizigov, FNP-C
• Abdulhamid Dahan Al-Fadhl
• Mahmoud Al-Fadhl
• Align to Health
• Allcare Dental & Dentures of in PC
• Rebecca L Allen-Legault, FNP-BC

• Certified Registered Nurse Anesthetist in Granger, IN
• Providers in Granger, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.