Active NPI
Adamina G. Podraza, M.D.
- Anesthesiology Physician
- Joliet, IL
National Provider Identifier
1285656231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036082598
- Practice address
- 1200 Maple Rd
Joliet, IL 60432-1439 - Phone
- (815) 740-1100
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036082598 | IL | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 036082598 | IL |
Addresses
Primary practice location
1200 Maple Rd
Joliet, IL 60432-1439
Mailing address
185 Penny Ave
East Dundee, IL 60118-1454
Phone (847) 836-7015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082598 | Medicaid | IL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610001079 | IL | Practitioner - Anesthesiology | 1557344553 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036082598 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSC Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Elite Anesthesia Providers, LTD | Anesthesiology | Current | Accepting new patients |
| Ias Illinois PC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Consultants of Morris, LLC | Anesthesiology | Current | Accepting new patients |
| Deerpath Ambulatory Surgical Center, LLC | Past | Accepting new patients | |
| Allied Anesthesia Associates, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400
10 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 325-5035
19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889
150 W High St
Morris, IL 60450
Phone (815) 942-2129
1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300
Organizations & group practices 7
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
- Mokena, IL
- NPI 1679258388
Anesthesiology, IL
-
- Anesthesiology Physician
- Morris, IL
- NPI 1912064122
Anesthesiology
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Morris, IL
- NPI 1215040464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1285656231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PENNY AVE",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181454",
"telephone_number": "847-836-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MAPLE RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604321439",
"telephone_number": "815-740-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODRAZA",
"first_name": "ADAMINA",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036082598",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036082598",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082598",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.