Active NPI
Miriam Kirori
- Certified Registered Nurse Anesthetist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 112080
- Practice address
- 600 East Blvd Apt 2a
Elkhart, IN 46514-2483 - Phone
- (574) 523-3334
- NPI assigned
- Mar 24, 2018
- Sex
- Female
- 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 | 112080 | IL | Primary |
Addresses
Primary practice location
600 East Blvd Apt 2a
Elkhart, IN 46514-2483
Mailing address
600 East Blvd
Elkhart, IN 46514-2483
Phone (574) 523-3334
Other names 1
- Miriam Kirori
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, IL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112080 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| United Surgeons, LLC | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| The South Bend Clinic LLC | Current | Accepting new patients |
Locations (25 of 26)
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
11460 Broadway
Crown Point, IN 46307
Phone (219) 488-0154
600 East Blvd
Apt 2A
Elkhart, IN 46514
Phone (574) 523-3334
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
6836 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509
900 I St
Laporte, IN 46350
Phone (219) 324-1670
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
8514 Broadway
Merrillville, IN 46410
Phone (219) 756-5010
8900 Broadway
Merrillville, IN 46410
Phone (219) 252-2173
4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545
9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955
901 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 552-8561
9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260
9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051
10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
Interoperability endpoints
- miriam.kirori.1@16383.direct.athenahealth.com
Organizations & group practices 15
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
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint John, IN
- NPI 1699724781
-
dba Unity Physicians Hospital
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Anesthesiology Physician
- Bremen, IN
- NPI 1992754089
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521849600000",
"number": "1568967461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 EAST BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142483",
"telephone_number": "574-523-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST BLVD APT 2A",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142483",
"telephone_number": "574-523-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRORI",
"first_name": "MIRIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2018-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "112080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRIAM",
"last_name": "KIRORI",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; 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.