Active NPI
Kirk R Leindecker, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209008219
- Practice address
- 7435 W Talcott Ave
Chicago, IL 60631-3707 - Phone
- (773) 774-8000
- NPI assigned
- Jul 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209008219 | IL | Primary |
Addresses
Primary practice location
7435 W Talcott Ave
Chicago, IL 60631-3707
Mailing address
1301 W 22ND St
Suite610
Oak Brook, IL 60523-2006
Phone (630) 537-1720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rockford Gastroenterology Associates LTD
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
401 Roxbury Rd
Rockford, IL 61107-5075
Phone (815) 397-7340
Hospital & facility affiliations
- Saint Anthony Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209008219 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Rockford Gastroenterology Associates, LTD. | Current | Accepting new patients | |
| Rockford Gastroenterology Associates, LTD. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
401 Roxbury Rd
Rockford, IL 61107
Phone (815) 397-7340
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Interoperability endpoints
- kirk.leindeckercrna.p1@direct.rga.nextgenshare.com
Organizations & group practices 4
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
- Oak Park, IL
- NPI 1699032524
-
- Specialist
- Rockford, IL
- NPI 1447207741
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Rockford, IL
- NPI 1871536763
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1245544667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W 22ND ST",
"address_2": "SUITE610",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232006",
"telephone_number": "630-537-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707",
"telephone_number": "773-774-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINDECKER",
"first_name": "KIRK",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209008219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.