Active NPI
Robert G Ludwig II, CRNA
- Certified Registered Nurse Anesthetist
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.006428
- Practice address
- 1000 Health Center Drive
Surgery/Anesthesia Department
Mattoon, IL 61938-0372 - Phone
- (217) 258-2440
- Fax
- (217) 258-2186
- NPI assigned
- Jan 22, 2007
- Last updated
- Apr 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.006428 | IL | Primary |
Addresses
Primary practice location
1000 Health Center Drive
Surgery/Anesthesia Department
Mattoon, IL 61938-0372
Mailing address
1000 Health Center Drive
Surgery/Anesthesia Department
Mattoon, IL 61938-0372
Phone (217) 258-2440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.006428 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
dba Ramsey Medical Group
- Rural Health Clinic/Center
- Ramsey, IL
- NPI 1598597726
-
dba Community Medical Clinic of Nokomis
- Family Medicine Physician
- Nokomis, IL
- NPI 1992994461
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1467506261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DRIVE",
"address_2": "SURGERY/ANESTHESIA DEPARTMENT",
"city": "MATTOON",
"state": "IL",
"postal_code": "619380372",
"telephone_number": "217-258-2440",
"fax_number": "217-258-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DRIVE",
"address_2": "SURGERY/ANESTHESIA DEPARTMENT",
"city": "MATTOON",
"state": "IL",
"postal_code": "619380372",
"telephone_number": "217-258-2440",
"fax_number": "217-258-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "ROBERT",
"middle_name": "G",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.006428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.