Individual provider Active NPI

David C Wright, CRNA

  • Certified Registered Nurse Anesthetist
  • Evergreen Park, IL
National Provider Identifier
1417561770
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209023493 Issued in IL
Practice address
2800 W 95TH St
Evergreen Park, IL 60805-2701
Phone
(708) 229-5445
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 209023493 IL Primary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 28205503A IN

Addresses

Primary practice location

2800 W 95TH St
Evergreen Park, IL 60805-2701

Mailing address

5118 Cardinal CT
Schererville, IN 46375-3408
Phone (219) 669-5229

Other practice location 1

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 738-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201015003365 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618397498 Reassigns benefits to 4 organizations
I20210727001823 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618397498 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Redreef Anesthesia Associates Chartered Indiana LLCGroup PAC ID 7012459647, 36 clinicians

Practice addresses (Care Compare)

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28205503AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Redreef Anesthesia Associates Chartered Indiana LLC Single Specialty CurrentSince Apr 25, 2024 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Endeavor Health Medical Group Single Specialty CurrentSince Feb 20, 2024 Accepting new patients
Windy City Anesthesia PC Single Specialty CurrentSince Sep 29, 2021 Accepting new patients
Northstar Anesthesia of Indiana LLC Single Specialty CurrentSince Aug 31, 2020 Accepting new patients
Endeavor Health Medical Group Single Specialty CurrentSince Feb 20, 2024 Accepting new patients
Windy City Anesthesia PC Single Specialty CurrentSince Sep 29, 2021 Accepting new patients
Northstar Anesthesia of Illinois, LLC Single Specialty CurrentSince Aug 10, 2022 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Single Specialty CurrentSince Apr 19, 2021 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

12800 Mississippi Pkwy
Crown Point, IN 46307
Phone (219) 662-5560

11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 10

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.

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1417561770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 CARDINAL CT",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753408",
            "telephone_number": "219-669-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052701",
            "telephone_number": "708-229-5445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078481",
            "country_code": "US",
            "telephone_number": "219-738-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209023493",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28205503A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.