Individual provider Active NPI

Rhonda Pingleton, CRNA

  • Certified Registered Nurse Anesthetist
  • Dayton, OH
National Provider Identifier
1417092768
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
03885 Issued in OH
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(937) 208-6173
Fax
(937) 208-3843
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 048915 OH
Certified Registered Nurse Anesthetist 367500000X 03885 OH Primary

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-6173

Other identifiers 1

IdentifierTypeStateIssuer
2202708MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000009 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628052388 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services of Greater Dayton LLCGroup PAC ID 1658520747, 24 clinicians

Practice addresses (Care Compare)

4235 Indian Ripple Rd
Suite 110
Beavercreek, OH 45440-3265
Phone (937) 427-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
048915OHMDAnesthesiology Physician
03885OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jun 26, 2020 Accepting new patients
Anesthesia Services of Greater Dayton, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2018 Accepting new patients
Anesthesiology Services Network LTD Anesthesiology CurrentSince Oct 6, 1997 Accepting new patients
Gi Anesthesia, LLC Anesthesiology CurrentSince Sep 13, 2018 Accepting new patients

Locations

4235 Indian Ripple Rd
Ste 110
Dayton, OH 45440
Phone (937) 427-7800

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

81 Sylvania Dr
Dayton, OH 45440
Phone (937) 431-9531

4200 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 320-5050

4235 Indian Ripple Rd
Dayton, OH 45440
Phone (513) 217-2094

4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602

75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050

6601 Centerville Business Pkwy
Dayton, OH 45459
Phone (937) 208-2111

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

3484 Far Hills Ave
Kettering, OH 45429
Phone (937) 208-4380

Organizations & group practices 4

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1417092768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-6173",
            "fax_number": "937-208-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-6173",
            "fax_number": "937-208-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGLETON",
        "first_name": "RHONDA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "048915",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "03885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202708",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.