Individual provider Active NPI

Janet H Siuda, CRNA

  • Certified Registered Nurse Anesthetist
  • Prairie Village, KS
National Provider Identifier
1508976366
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54736 Issued in KS
Practice address
3840 W 75TH Street
Physicians Surgery Center
Prairie Village, KS 66208
Phone
(913) 384-9600
Fax
(931) 384-9646
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54736 KS Primary

Addresses

Primary practice location

3840 W 75TH Street
Physicians Surgery Center
Prairie Village, KS 66208

Mailing address

PO Box 413770
Kansas City, MO 64141-3770
Phone (913) 754-8508

Other identifiers 2

IdentifierTypeStateIssuer
1002500606MedicaidKS
24743020OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040803001022 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880665926 Reassigns benefits to 1 organization
I20050908000797 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880665926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians

Practice addresses (Care Compare)

11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230

4741 S Cochise Dr
Independence, MO 64055-6974
Phone (816) 478-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care, LLC CurrentSince Oct 30, 2024 Accepting new patients
Eye Care, LLC CurrentSince Oct 30, 2024 Accepting new patients
Eye Care LLC CurrentSince Oct 30, 2024 Accepting new patients
Eye Care, LLC Current Accepting new patients
Professional Anesthetic Care Inc Past Accepting new patients
Global Anesthesia Specialist PA Past Accepting new patients
St Joseph Anesthesia Services, P.C. Past Accepting new patients
Consultants in Gastroenterology, PC PastSince Jul 11, 2011 Accepting new patients
Columbia Musculoskeletal Surgery CNTR LLC Past Accepting new patients
Novamed Eye Surgery Center of Overland Park, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Dynamos Anesthesia Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

5520 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 491-3040

4801 S Cliff Ave
Independence, MO 64055
Phone (816) 478-4400

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

9401 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 296-9391

3310 W 10th St
Sedalia, MO 65301
Phone (660) 829-2837

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1508976366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413770",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641413770",
            "telephone_number": "913-754-8508",
            "fax_number": "913-647-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 W 75TH STREET",
            "address_2": "PHYSICIANS SURGERY CENTER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-384-9600",
            "fax_number": "931-384-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIUDA",
        "first_name": "JANET",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002500606",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "24743020",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.

Verify at the official NPI Registry.