Active NPI
Altan Halici
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2020022858
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (636) 386-7222
- NPI assigned
- Mar 10, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209021683 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 2020022858 | MO | Primary |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
PO Box 22407
Saint Louis, MO 63126-0407
Phone (636) 386-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MA, IL, OH, FL
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
502 W Highland Blvd
Citrus Memorial Hospital
Inverness, FL 34452-4720
Phone (352) 726-1551
Hospital & facility affiliations
- HCA Florida Citrus Hospital
- Memorial Hospital of Carbondale
- Herrin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.5 of 100
- Quality
- 71.52
- Promoting interoperability
- 95.57
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| South County Anesthesia Associates, LTD. | Current | Accepting new patients | |
| Marion Area Physicians LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Florida LLC | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South County Anesthesia Associates, LTD | Current | Accepting new patients | |
| Anesthesia Medicine Services of FL, LLC | Current | Accepting new patients |
Locations
12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145
6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Dept L3652
Columbus, OH 43260
1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 14
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
- Miami, FL
- NPI 1346947496
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1821031659
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Pain Clinic/Center
- Wentzville, MO
- NPI 1114290749
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1568097541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22407",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631260407",
"telephone_number": "636-386-7222",
"fax_number": "636-200-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "636-386-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALICI",
"first_name": "ALTAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-10",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209021683",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2020022858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.