Individual provider Active NPI

Ira Kosta

  • Certified Registered Nurse Anesthetist
  • Bloomingdale, IL
National Provider Identifier
1386289874
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024178863 Issued in VA
Practice address
212 Glen Ellyn Rd Apt 104
Bloomingdale, IL 60108-1846
Phone
(646) 287-7951
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024178863 VA Primary
Nurse Practitioner 363L00000X 0024178863 VA

Addresses

Primary practice location

212 Glen Ellyn Rd Apt 104
Bloomingdale, IL 60108-1846

Mailing address

212 Glen Ellyn Rd Apt 104
Bloomingdale, IL 60108-1846
Phone (646) 287-7951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200505000453 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123459203 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Anesthesia, IncGroup PAC ID 4587562152, 177 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0055

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024178863VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Virginia LLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Mar 22, 2026 Accepting new patients
Atlantic Anesthesia, Inc Anesthesiology CurrentSince Apr 26, 2022 Accepting new patients
Eastern Virginia Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2026 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients

Locations

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

838 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6900

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

400 Sentara Cir
#200
Williamsburg, VA 23188
Phone (678) 690-7816

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1386289874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GLEN ELLYN RD APT 104",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081846",
            "telephone_number": "646-287-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GLEN ELLYN RD APT 104",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081846",
            "telephone_number": "646-287-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTA",
        "first_name": "IRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024178863",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.

Verify at the official NPI Registry.