Active NPI
Samia Katherine Esseddiqi, CRNA
- Certified Registered Nurse Anesthetist
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28240074A
- Practice address
- 8701 Broadway
Merrillville, IN 46410 - Phone
- (219) 738-5500
- NPI assigned
- Sep 8, 2015
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28240074A | IN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 2016003052 | MO |
Addresses
Primary practice location
8701 Broadway
Merrillville, IN 46410
Mailing address
204 McKinley St
Valparaiso, IN 46383-3549
Phone (425) 210-0057
Other practice location 1
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-6973
Other practice location 2
600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4000
Other practice location 3
101 E 87th Ave
Merrillville, IN 46410-7335
Phone (219) 738-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-5743
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016003052 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter County Anesthesia Associates PC | Current | Accepting new patients |
Locations
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Organizations & group practices 1
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
- Valparaiso, IN
- NPI 1215974936
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1417325457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MCKINLEY ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833549",
"telephone_number": "425-210-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "46410",
"telephone_number": "219-738-5500"
}
],
"practiceLocations": [
{
"address_1": "1 Barnes Jewish Hospital Plz",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "314-362-6973",
"fax_number": "314-362-1185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Grant St",
"address_purpose": "LOCATION",
"city": "Gary",
"state": "IN",
"postal_code": "464026001",
"country_code": "US",
"telephone_number": "219-886-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E 87th Ave",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107335",
"country_code": "US",
"telephone_number": "219-738-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESSEDDIQI",
"first_name": "SAMIA",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28240074A",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2016003052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.