Active NPI
Kevin James Stein, CRNA
- Certified Registered Nurse Anesthetist
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209007464
- Practice address
- 4500 Memorial Dr
Belleville, IL 62226-5360 - Phone
- (618) 960-1185
- NPI assigned
- May 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2014001570 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 209007464 | IL | Primary |
Addresses
Primary practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Mailing address
116 Starlight Dr
Belleville, IL 62226-4929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209007464 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100326000983 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345376570 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Starlight Anesthesia, LLC
Practice addresses (Care Compare)
1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111
Hospital & facility affiliations
- Hillsboro Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bel Clair Ambulatory Surgical Treatment Center, LTD. | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Associated Pathologists, LLC | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Anesthesia of Southern Illinois LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Evolutionary Healthcare, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Starlight Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carlinville Area Hospital Association | Current | Accepting new patients |
Locations
325 W Lincoln St
Belleville, IL 62220
Phone (618) 225-2299
2810 Frank Scott Pkwy W
Ste 716
Belleville, IL 62223
Phone (618) 355-0880
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000
1028 S Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 394-2255
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
Organizations & group practices 12
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.
-
- Certified Registered Nurse Anesthetist
- Hillsboro, IL
- NPI 1508214446
IL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Belleville, IL
- NPI 1053662932
IL, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Belleville, IL
- NPI 1174601223
IL
-
- Certified Registered Nurse Anesthetist
- Hillsboro, IL
- NPI 1184508855
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Virden, IL
- NPI 1447691571
-
- Rural Health Clinic/Center
- Lawrenceville, IL
- NPI 1811183692
-
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
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": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615075200000",
"number": "1457586455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 STARLIGHT DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622264929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-960-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-19",
"last_updated": "2021-03-07",
"certification_date": "2021-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2014001570",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209007464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209007464",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.