Individual provider Active NPI

Miriam Kirori

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1568967461
Registry record updated Mar 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
112080 Issued in IL
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

Updated by the provider on Mar 24, 2018

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 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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180404000210 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557624541 Reassigns benefits to 6 organizations
I20220602000977 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557624541 Reassigns benefits to 1 organization
I20240704000265 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557624541 Reassigns benefits to 1 organization

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
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

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

LicenseStateTypeSpecialty
112080ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2022 Accepting new patients
Stat Anesthesia Specialists LTD CurrentSince Mar 10, 2023 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Stat Anesthesia Specialists, LTD. CurrentSince Mar 10, 2023 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 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 CurrentSince Jul 1, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Mar 8, 2022 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. CurrentSince Jul 1, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 8, 2022 Accepting new patients
United Surgeons, LLC Current Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Jun 10, 2024 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Jun 10, 2024 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

  • Direct secure messaging: 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.

View all 15

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.

Verify at the official NPI Registry.