Active NPI
Dean Canestrini, CRNA
- Certified Registered Nurse Anesthetist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3003564
- Practice address
- 2501 Kentucky Avenue
Western Baptist Hospital
Paducah, KY 42003 - Phone
- (270) 575-2100
- NPI assigned
- Sep 27, 2006
- 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 | 3003564 | KY | Primary |
Addresses
Primary practice location
2501 Kentucky Avenue
Western Baptist Hospital
Paducah, KY 42003
Mailing address
2507 Broadway
Paducah, KY 42001
Phone (270) 442-8228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K023541 | Other | KY | MEDICARE OF KY |
| 74005463 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050926000300 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8628002946 | Reassigns benefits to 2 organizations |
| I20160115001100 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8628002946 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tas of Kentucky LLC
Practice addresses (Care Compare)
1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100
Hospital & facility affiliations
- Jackson Purchase Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tas of Kentucky LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lourdes Ambulatory Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Purchase Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
225 Medical Center Dr
Ste 405
Paducah, KY 42003
Phone (270) 441-4750
Organizations & group practices 6
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
- Mayfield, KY
- NPI 1255735346
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
KY, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Paducah, KY
- NPI 1275770943
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Paducah, KY
- NPI 1215987953
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1487745592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 BROADWAY",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "270-442-8228",
"fax_number": "270-442-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 KENTUCKY AVENUE",
"address_2": "WESTERN BAPTIST HOSPITAL",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42003",
"telephone_number": "270-575-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANESTRINI",
"first_name": "DEAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3003564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OF KY",
"identifier": "K023541",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74005463",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.