NPIMap

Organization Active NPI

River Road Anesthesia Specialists, LLC

  • Anesthesiology Physician
  • Des Plaines, IL
National Provider Identifier
1215545272
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RIVER ROAD ANESTHESIA SPECIALISTS, LLC
Practice address
9700 Golf Rd
Des Plaines, IL 60016
Phone
(630) 410-7700
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Melissa Rice
Title
Administrator
Phone
(224) 500-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

9700 Golf Rd
Des Plaines, IL 60016

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (630) 410-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201216001597 IL Part B Supplier - Clinic/Group Practice 4789096793 Receives reassigned benefits from 9 practitioners
Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Locations

9700 E Golf Rd
Des Plaines, IL 60016
Phone (630) 410-7700

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1215545272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "630-410-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "630-410-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROAD ANESTHESIA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "224-500-3339"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.