Active NPI
Robert J Rady, CRNA
- Certified Registered Nurse Anesthetist
- Tinley Park, IL
National Provider Identifier
1407903719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 17954 Highland Ave
Tinley Park, IL 60477-4269 - Phone
- (708) 614-7588
- Fax
- (708) 614-6588
- NPI assigned
- Jan 5, 2007
- Last updated
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
17954 Highland Ave
Tinley Park, IL 60477-4269
Mailing address
17954 Highland Ave
Tinley Park, IL 60477-4269
Phone (708) 614-7588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209003550 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Medical Specialist Inc | Current | Accepting new patients | |
| The Pain Center of Illinois Inc. | Current | Accepting new patients | |
| Bob Rady, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sure Work Health Clinic LTD | Past | Accepting new patients | |
| Multicare Physician Center PC | Past | Accepting new patients |
Locations
688 Cedar Crossings Dr
New Lenox, IL 60451
Phone (815) 727-3030
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1033455118
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
-
- Certified Registered Nurse Anesthetist
- Tinley Park, IL
- NPI 1033266366
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1053588079
-
- Sports Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1275195059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1407903719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17954 HIGHLAND AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604774269",
"telephone_number": "708-614-7588",
"fax_number": "708-614-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17954 HIGHLAND AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604774269",
"telephone_number": "708-614-7588",
"fax_number": "708-614-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADY",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.