Vida R Kasuba, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD047052L Issued in PA

Practice address

8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436

Phone

(708) 831-8282

Fax

(773) 714-1229

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Northeastern Ohio University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Anesthesiologists Chicago LLCGroup PAC ID 9436119542, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mobile Anesthesiologists Chicago LLC

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396887774
  Medicare reassignment Care Compare group NPD
• West Central Anesthesiology Group LTD

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396785648
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1477549806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604990443",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 W BRYN MAWR AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313436",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASUBA",
        "first_name": "VIDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD047052L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430768",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas Kasson
• Lauren Kastan, MS CCC-SLP
• Ilene S. Kastel, M.A., LCPC
• Kurt Jameson Kastenholz, M.D.
• Erina Kastrati, D.C
• Iwona Kaszuba, STA
• Kat Cockey PLLC
• Kat Group Homes LLC
• Kat Health LLC
• Kat Transport NG Co

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.