Individual provider Active NPI

Ricardo Aluague San Pedro, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1447247671
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1730A Issued in SC
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 577-4200
Fax
(317) 577-9503
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R89933 SC
Certified Registered Nurse Anesthetist 367500000X 1730A SC Primary
Certified Registered Nurse Anesthetist 367500000X RNA213015 ME

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5489

Other practice location 2

35 Miles St
Damariscotta, ME 04543-4047
Phone (207) 563-1234

Other identifiers 1

IdentifierTypeStateIssuer
AN1175MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsanpedro@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, IL, GA, IN, MI6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20120321000016 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981864402 Reassigns benefits to 7 organizations
I20170106000005 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981864402 Reassigns benefits to 2 organizations
I20211027001805 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981864402 Reassigns benefits to 1 organization
I20220106000023 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981864402 Reassigns benefits to 1 organization
I20221026001379 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981864402 Reassigns benefits to 1 organization
I20251006003269 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981864402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarmc Anesthesia Specialist LLCGroup PAC ID 5294032413, 48 clinicians
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians
Ad of South Carolina LLCGroup PAC ID 6901269224, 28 clinicians
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 335-0531

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

302 University Pkwy
Aiken, SC 29801-6302
Phone (888) 851-4642

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

8333 Felch St
Zeeland, MI 49464-2608

Hospital & facility affiliations

  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • Corewell Health Zeeland Hospital Hospital, Zeeland, MI, CCN 230003

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
1730ASCMDCertified Registered Nurse Anesthetist
R89933SCMDCertified Registered Nurse Anesthetist
1730SCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Regional Medical Centers Nurse Anesthetist, Certified Registered CurrentSince Sep 30, 2002 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 6, 2023 Accepting new patients
Ana Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2020 Accepting new patients
Aiken Regional Medical Centers LLC CurrentSince Sep 30, 2002 Accepting new patients
Patricia M. Hannan, Crna, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2019 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 24, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2025 Accepting new patients
Iu Anesthesiology Associates, LLC CurrentSince Sep 12, 2022 Accepting new patients
Aiken Regional Medical Centers LLC Current Accepting new patients
Atlantic Coast Anesthesia Services P.C. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 24, 2025 Accepting new patients
Palmetto Health Services Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 12, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 6, 2023 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Sarmc Anesthesia Specialist LLC CurrentSince Oct 15, 2024 Accepting new patients
Ad of South Carolina LLC CurrentSince Aug 13, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Sep 2, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2025 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Feb 28, 2022 Accepting new patients

Locations

2816 Hillcreek Dr
Ste B
Augusta, GA 30909

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

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

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

103 Gregg Ave NW
Ste 100
Aiken, SC 29801
Phone (803) 226-0799

103 Gregg Ave NW
Aiken, SC 29801
Phone (803) 226-0799

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

110 Pepper Hill Way
Aiken, SC 29801
Phone (803) 642-6060

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 6

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1447247671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-577-4200",
            "fax_number": "317-577-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016302",
            "country_code": "US",
            "telephone_number": "803-641-5489",
            "fax_number": "803-641-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Miles St",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434047",
            "country_code": "US",
            "telephone_number": "207-563-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAN PEDRO",
        "first_name": "RICARDO",
        "middle_name": "ALUAGUE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R89933",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "1730A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA213015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1175",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsanpedro@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.