Kwame Adu-Affum | NPI 1255066239

Key facts

NPI: 1255066239
Entity type: Individual (NPI type 1)
Primary specialty: Certified Registered Nurse Anesthetist 367500000X
License: 209025460 (IL)
Practice address: 800 E Carpenter St
Springfield, IL 62769-1000
Phone: (217) 544-6464
NPI assigned: Jul 22, 2022
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

North American Partners in Anesthesia (Illinois), LLC Anesthesiology Physician · Oak Park, IL · NPI 1699032524

Medicare reassignment Care Compare group NPD IL

Hospital & facility affiliations 1

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

St Johns Hospital of the Hospital Sisters of the Third Order of St F General Acute Care Hospital · Springfield, IL · NPI 1205818481

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Certified Registered Nurse Anesthetist (Crna)
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: North American Partners in Anesthesia Illinois LLC (431 clinicians)

Practice addresses (Care Compare)

800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464

Hospital & facility affiliations

St Johns Hospital Hospital · Springfield, IL · CCN 140053

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220928001941	IL	Practitioner - Certified Registered Nurse Anesthetist (Crna)	7113303108	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Registered Nurse

State licenses

License	State	Type	Specialty
209025460	IL	MD	Certified Registered Nurse Anesthetist

Practice roles

Organization	Specialty	Status	New patients
North American Partners in Anesthesia (Illinois), LLC		Current since Jul 8, 2022	Accepting new patients

Locations

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

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Certified Registered Nurse Anesthetist	367500000X	209025460	IL	Yes

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62769-1000

Mailing address

800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464

Other providers in Springfield, IL

All providers in Springfield, IL · Certified Registered Nurse Anesthetist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.