Individual provider Active NPI

Layne Steele Tait, MD

  • Anesthesiology Physician
  • Bloomington, IN
National Provider Identifier
1194838193
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01053376A Issued in IN
Practice address
601 W 2ND St
Bloomington, IN 47403-2317
Phone
(866) 483-4804
Fax
(317) 870-0499
NPI assigned
Aug 16, 2006
Last updated
Nov 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01053376A IN Primary

Addresses

Primary practice location

601 W 2ND St
Bloomington, IN 47403-2317

Mailing address

PO Box 2121 Dept 1438
Memphis, TN 38159-0001
Phone (866) 483-4804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824001160 IN Practitioner - Anesthesiology 3577567601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Anesthesiologists PCGroup PAC ID 6204740988, 39 clinicians
Aas Indiana LLCGroup PAC ID 4688045115, 43 clinicians

Practice addresses (Care Compare)

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9147

4105 Dicke Rd
Fort Wayne, IN 46804-6135
Phone (260) 268-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01053376AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aas Indiana LLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Bloomington Anesthesiologists PC Anesthesiology CurrentSince Dec 18, 2000 Accepting new patients

Locations

1011 W 2nd St
Bloomington, IN 47403
Phone (812) 334-1213

1380 W Arch Haven Ave
Bloomington, IN 47403
Phone (812) 330-1164

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

2800 Rex Grossman Blvd
Bloomington, IN 47403
Phone (800) 841-4938

2907 S McIntire Dr
Ste C
Bloomington, IN 47403
Phone (812) 339-8000

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690

2425 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 657-7800

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

6920 Gatwick Dr
Ste 100
Indianapolis, IN 46241
Phone (317) 821-0000

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194048000000",
    "number": "1194838193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2121 DEPT 1438",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381590001",
            "telephone_number": "866-483-4804",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032317",
            "telephone_number": "866-483-4804",
            "fax_number": "317-870-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "LAYNE",
        "middle_name": "STEELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01053376A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.