Srdja Bulatovic, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036107996 Issued in IL

Practice address

1770 1St St
Suite 703
Highland Park, IL 60035-3200

Phone

(847) 433-1539

Fax

(847) 433-1552

NPI assigned

Dec 14, 2006

Last updated

May 29, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Northstar Anesthesia of Illinois, LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1962822395

  IL

  Medicare reassignment Care Compare group NPD
• Continental Chronic Pain LTD

  • Interventional Pain Medicine Physician
  • Berwyn, IL
  • NPI 1457524811
  NPD (past)
• Sheridan Healthcare of Washington, PC

  • Anesthesiology Physician
  • Olympia, WA
  • NPI 1386883775
  NPD (past)
• Superior Anesthesia LLC

  • Anesthesiology Physician
  • Munster, IN
  • NPI 1508047390
  NPD (past)
• Tahoma Anesthesiology Consultants PS

  • Anesthesiology Physician
  • Olympia, WA
  • NPI 1699723023
  NPD (past)

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

• Saint Francis Hospital - Evanston LLC

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1982442398
  Care Compare affiliation

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1225190309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 1ST ST",
            "address_2": "SUITE 703",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353200",
            "telephone_number": "847-433-1539",
            "fax_number": "847-433-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 1ST ST",
            "address_2": "SUITE 703",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353200",
            "telephone_number": "847-433-1539",
            "fax_number": "847-433-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULATOVIC",
        "first_name": "SRDJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00044136",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036107996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8435265",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Brooks, MSW (INTERN)
• Joel K. Brotman, LCSW
• Jorie Brottman
• Marchele Brown
• Francis Alan Bugaj, DDS
• Bulbul Bahuguna
• Lori Bumbaco, MS, RDN, CSO, LDN
• Betty Burke, SLP
• Polina Burshteyn, PT, DPT
• Jacqueline Paige Cabrera, FNP-BC

• Anesthesiology Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.