Individual provider Active NPI

Caryn Carranza, MD

  • Anesthesiology Physician
  • Munster, IN
National Provider Identifier
1548218860
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01058361A Issued in IN
Practice address
901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901
Phone
(219) 836-1600
Fax
(219) 513-1127
NPI assigned
May 5, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01058361A IN Primary

Addresses

Primary practice location

901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901

Mailing address

901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901
Phone (219) 836-7040

Other identifiers 3

IdentifierTypeStateIssuer
200186550AMedicaidIN
036076383MedicaidIL
000000331671OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040401000601 IL Practitioner - Anesthesiology 7012909849 Reassigns benefits to 1 organization
I20040702000836 IN Practitioner - Anesthesiology 7012909849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedell Clinic, S. C.Group PAC ID 2567366164, 24 clinicians
Nwi Medical Associates , LLCGroup PAC ID 4183087257, 64 clinicians

Practice addresses (Care Compare)

1625 E 75TH St
FL 1
Chicago, IL 60649-3603

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7764

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 703-1443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058361AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munster Medical Research Foundation, Inc. CurrentSince Dec 23, 2003 Accepting new patients
Friedell Clinic, S. C. Anesthesiology CurrentSince Nov 1, 2003 Accepting new patients
St Catherine Hospital Inc CurrentSince Sep 5, 2023 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
St. Catherine Hospital Inc. CurrentSince Sep 5, 2023 Accepting new patients
Nwi Medical Associates , LLC Anesthesiology CurrentSince Mar 8, 2024 Accepting new patients
Munster Medical Research Foundation Inc Anesthesiology CurrentSince Dec 23, 2003 Accepting new patients
The Board of Trustees of the University of Illinois PastSince Apr 6, 2023 Accepting new patients

Locations

1625 E 75th St
Chicago, IL 60649
Phone (773) 947-2484

190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

7531 S Stony Island Ave
Ste 251
Chicago, IL 60649

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

Interoperability endpoints

  • Direct secure messaging: caryncarranza@jph.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jackson Park Hospital and Medical CenterChicago, IL, CCN 140177 Hospital Corporate Director Jun 18, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1548218860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ATTN ANESTHESIA",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-7040",
            "fax_number": "219-513-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ATTN ANESTHESIA",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-1600",
            "fax_number": "219-513-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "CARYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01058361A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200186550A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076383",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000331671",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.