Active NPI
Ricardo Aluague San Pedro, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1730A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1175 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MI
Enrollment records 6
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
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
- Sentara Albemarle Medical Center
- Piedmont Macon North Hospital
- Corewell Health Zeeland Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1730A | SC | MD | Certified Registered Nurse Anesthetist |
| R89933 | SC | MD | Certified Registered Nurse Anesthetist |
| 1730 | SC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Regional Medical Centers | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Ana Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aiken Regional Medical Centers LLC | Current | Accepting new patients | |
| Patricia M. Hannan, Crna, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Iu Anesthesiology Associates, LLC | Current | Accepting new patients | |
| Aiken Regional Medical Centers LLC | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Moses H. Cone Memorial Hospital Operating Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palmetto Health Services Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | 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 | Current | Accepting new patients | |
| Ad of South Carolina LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | 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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1205518792
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Critical Care Medicine (Anesthesiology) Physician
- Elizabeth City, NC
- NPI 1295194397
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1285684407
-
- Other Specialist/Technologist
- Aiken, SC
- NPI 1316955875
-
- Certified Registered Nurse Anesthetist
- Aiken, SC
- NPI 1003273517
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Certified Registered Nurse Anesthetist
- Aiken, SC
- NPI 1568717247
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Aiken, SC
- NPI 1497187678
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
-
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
-
- General Acute Care Hospital
- Zeeland, MI
- NPI 1275536344
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.