Individual provider Active NPI

Robert James Saltanovitz

  • Certified Registered Nurse Anesthetist
  • Warsaw, IN
National Provider Identifier
1184370686
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28216375A Issued in IN
Practice address
1355 Mariners Dr
Warsaw, IN 46582-7145
Phone
(850) 985-9180
NPI assigned
Feb 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 28216375A IN Primary

Addresses

Primary practice location

1355 Mariners Dr
Warsaw, IN 46582-7145

Mailing address

PO Box 824246
Philadelphia, PA 19182-4246
Phone (850) 985-9180

Other practice location 1

401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (850) 985-9180

Other practice location 2

207 N Townline Rd
LaGrange, IN 46761-1325
Phone (850) 985-9180

Other practice location 3

1260 E State Road 205
Columbia City, IN 46725-9492
Phone (850) 985-9180

Other practice location 4

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (219) 730-8355

Other practice location 5

2001 Stults Rd
Huntington, IN 46750-1291
Phone (850) 985-9180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805001087 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395127443 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (850) 497-6702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28216375AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2023 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 2, 2025 Accepting new patients
Stat Anesthesia Specialists, LTD. CurrentSince Jul 17, 2023 Accepting new patients
Stat Anesthesia Specialists LTD Current Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients

Locations

18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051

9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

9 Northeastern Blvd
Ste 400
Salem, NH 03079

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1184370686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824246",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824246",
            "telephone_number": "850-985-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 MARINERS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465827145",
            "telephone_number": "850-985-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552568",
            "country_code": "US",
            "telephone_number": "850-985-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 N Townline Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "IN",
            "postal_code": "467611325",
            "country_code": "US",
            "telephone_number": "850-985-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 E State Road 205",
            "address_purpose": "LOCATION",
            "city": "Columbia City",
            "state": "IN",
            "postal_code": "467259492",
            "country_code": "US",
            "telephone_number": "850-985-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "219-730-8355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Stults Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "IN",
            "postal_code": "467501291",
            "country_code": "US",
            "telephone_number": "850-985-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALTANOVITZ",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28216375A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.