Individual provider Active NPI

Roger Arquilla, CRNA

  • Certified Registered Nurse Anesthetist
  • Sterling, IL
National Provider Identifier
1598717290
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Practice address
100 E Lefevre Road
Sterling, IL 61081-1279
Phone
(815) 625-0400
Fax
(815) 625-2747
NPI assigned
May 17, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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 IL Primary

Addresses

Primary practice location

100 E Lefevre Road
Sterling, IL 61081-1279

Mailing address

100 E Lefevre Road
Sterling, IL 61081-1279
Phone (815) 625-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000101 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759562648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209001692ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Jun 10, 2013 Accepting new patients
CGH Medical Center CurrentSince Jun 10, 2013 Accepting new patients

Locations

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1598717290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LEFEVRE ROAD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811279",
            "telephone_number": "815-625-0400",
            "fax_number": "815-625-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEFEVRE ROAD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811279",
            "telephone_number": "815-625-0400",
            "fax_number": "815-625-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARQUILLA",
        "first_name": "ROGER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.