Active NPI
Brett Eric Theusch, M.D.
- Anesthesiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 74605
- Practice address
- 701 N 1St St
Springfield, IL 62702-3757 - Phone
- (217) 545-0182
- Fax
- (217) 545-4735
- NPI assigned
- Aug 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.060179 | IL | |
| Anesthesiology Physician | 207L00000X | 74605 | GA | Primary |
| Anesthesiology Physician | 207L00000X | 28994 | NE | |
| Anesthesiology Physician | 207L00000X | 4301108958 | MI |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62702-3757
Mailing address
PO Box 19636
Springfield, IL 62794-9636
Phone (217) 545-0182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.16 of 100
- Quality
- 95.73
- Improvement activities
- 40
- Cost
- 75.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74605 | GA | MD | Anesthesiology Physician |
| 28994 | NE | MD | Anesthesiology Physician |
| 125.060179 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology Associates of Michigan, PC | Anesthesiology | Past | Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
888 Pine St
Macon, GA 31201
Phone (478) 751-0527
Interoperability endpoints
- btheusch21398@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1245519362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19636",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949636",
"telephone_number": "217-545-0182",
"fax_number": "217-545-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023757",
"telephone_number": "217-545-0182",
"fax_number": "217-545-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEUSCH",
"first_name": "BRETT",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-07",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.060179",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "74605",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NE",
"license": "28994",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301108958",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.