Individual provider Active NPI

Sarah E Ruban, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1265670285
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209007390 041332062 Issued in IL
Practice address
1653 W Congress Pkwy
Jelke 739
Chicago, IL 60612-3833
Phone
(312) 942-6504
Fax
(312) 942-8858
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209007390 041332062 IL Primary

Addresses

Primary practice location

1653 W Congress Pkwy
Jelke 739
Chicago, IL 60612-3833

Mailing address

1653 W Congress Pkwy
Jelke 739
Chicago, IL 60612-3833
Phone (312) 942-6504

Other names 1

  • Sarah E Ayres Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000432 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537226337 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209007390 041332062ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pain Care Centers LTD CurrentSince Jun 1, 2014 Accepting new patients
Anesthesia Associates, LTD CurrentSince Jun 1, 2014 Accepting new patients
Guardian Anesthesia Associates, S.C Past Accepting new patients
University Anesthesiologists SC Nurse Anesthetist, Certified Registered Past Accepting new patients
Rush University Medical Center Past Accepting new patients

Locations

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

100 5th St
Oswego, IL 60543
Phone (630) 449-0085

1879 N Neltnor Blvd
West Chicago, IL 60185

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1265670285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "JELKE 739",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-6504",
            "fax_number": "312-942-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "JELKE 739",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-6504",
            "fax_number": "312-942-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBAN",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007390 041332062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "AYRES",
            "middle_name": "E",
            "credential": "C.R.N.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 7, 2009; 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.