Active NPI
Matthew Wyatt Sims, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041351362
- Practice address
- 1653 W Congress Pkwy
Department of Anesthesia
Chicago, IL 60612-3833 - Phone
- (312) 942-5000
- NPI assigned
- Sep 6, 2012
- 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 | 041351362 | IL | Primary |
Addresses
Primary practice location
1653 W Congress Pkwy
Department of Anesthesia
Chicago, IL 60612-3833
Mailing address
4858 N Hermitage Ave
Apt. 1a
Chicago, IL 60640-4125
Phone (312) 952-1928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041351362 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Granville Health System | Current | Accepting new patients | |
| Nash Hospitals Inc | Current | Accepting new patients | |
| Granville Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nash Hospitals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181
1010 College St
Oxford, NC 27565
Phone (919) 623-5115
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Oxford, NC
- NPI 1275638512
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
NC, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Oxford, NC
- NPI 1104683341
-
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, NC
- NPI 1326061730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1528317484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4858 N HERMITAGE AVE",
"address_2": "APT. 1A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404125",
"telephone_number": "312-952-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"address_2": "DEPARTMENT OF ANESTHESIA",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-942-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "MATTHEW",
"middle_name": "WYATT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041351362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.