Individual provider Active NPI

Myroslav Harasym, MD

  • Anesthesiology Physician
  • Hobbs, NM
National Provider Identifier
1215101704
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036127322 Issued in IL
Practice address
5419 N Lovington Hwy
Hobbs, NM 88240-9125
Phone
(575) 491-5000
NPI assigned
Apr 16, 2008
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD2012-0173 NM
Anesthesiology Physician 207L00000X 036127322 IL Primary

Addresses

Primary practice location

5419 N Lovington Hwy
Hobbs, NM 88240-9125

Mailing address

PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130724000430 IL Practitioner - Anesthesiology 3375799653 Reassigns benefits to 2 organizations
I20161129002429 FL Practitioner - Anesthesiology 3375799653 Reassigns benefits to 2 organizations
I20250126000040 AL Practitioner - Anesthesiology 3375799653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview Anesthesia Consultants LLCGroup PAC ID 1052846359, 17 clinicians

Practice addresses (Care Compare)

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 543-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Anesthesia LLC Anesthesiology CurrentSince May 19, 2020 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Jun 11, 2018 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Riverview Anesthesia Consultants LLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Quiescence Anesthesia LLC CurrentSince Jun 1, 2021 Accepting new patients
American Anesthesiology Associates of Illinois, S.C. Anesthesiology CurrentSince Mar 22, 2021 Accepting new patients

Locations

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919

483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 6

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.

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1215101704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409125",
            "telephone_number": "575-491-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARASYM",
        "first_name": "MYROSLAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2012-0173",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036127322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.