Individual provider Active NPI

Ulana Bohdanna Sonevytsky, M.D.

  • Anesthesiology Physician
  • Maywood, IL
National Provider Identifier
1497021323
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01076827B Issued in IN
Practice address
2160 S 1St Ave
Maywood, IL 60153
Phone
(708) 216-9169
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 01076827B IN Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153

Mailing address

233 Barberry LN
Valparaiso, IN 46383-9780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20171016000806 IN Practitioner - Anesthesiology 8426359100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter County Anesthesia Associates PCGroup PAC ID 4789573411, 29 clinicians

Practice addresses (Care Compare)

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-5743

Hospital & facility affiliations

  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01076827BINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter County Anesthesia Associates PC Anesthesiology CurrentSince Sep 13, 2018 Accepting new patients
Midwest Anesthesia & Pain Consultants PC Anesthesiology Past Accepting new patients

Locations

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Organizations & group practices 3

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.

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1497021323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BARBERRY LN",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONEVYTSKY",
        "first_name": "ULANA",
        "middle_name": "BOHDANNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01076827B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.