NPIMap

Organization Active NPI

Midwest Anesthesia and Pain Specialists, SC

  • Specialist
  • Chicago, IL
National Provider Identifier
1437542651
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC
Practice address
4354 W 63Rd St
Chicago, IL 60629-5039
Phone
(773) 362-2917
Fax
(773) 362-2768
NPI assigned
Mar 12, 2015
Last updated
Mar 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Darrel J Saldanha, MDNPI 1225272875
Title
Ceo
Phone
(773) 362-2917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4354 W 63Rd St
Chicago, IL 60629-5039

Mailing address

9680 Golf Road
Desplaines, IL 60016
Phone (773) 362-2917

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150813010323 IL DME Supplier - Physician - Interventional Pain Management 6204051899 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Midwest Anesthesia and Pain Specialists SC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1437542651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF ROAD",
            "city": "DESPLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "773-362-2917",
            "fax_number": "773-362-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295039",
            "telephone_number": "773-362-2917",
            "fax_number": "773-362-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "SALDANHA",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-362-2917",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.

Verify at the official NPI Registry.