Individual provider Active NPI

Krzysztof Malewicz, CRNA

  • Certified Registered Nurse Anesthetist
  • Berwyn, IL
National Provider Identifier
1609383496
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209017062 Issued in IL
Practice address
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone
(708) 216-9000
NPI assigned
Jan 3, 2018
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 209017062 IL Primary

Addresses

Primary practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Mailing address

5218 Keene LN
Hanover Park, IL 60133-5523
Phone (708) 752-1591

Other practice location 1

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmalewicz48868@direct.luhs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730001138 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052669652 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Encore Anesthesia Group LLCGroup PAC ID 3476979683, 35 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400

100 E Lefevre Rd
Sterling, IL 61081-1278

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

5666 E State St
Rockford, IL 61108-2425
Phone (815) 226-2000

701 W N Ave
Melrose Park, IL 60160-1612
Phone (708) 681-3200

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209017062ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Community Health Services Corporation CurrentSince Jul 19, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Feb 2, 2024 Accepting new patients
Valley Ambulatory Surgery Center, LP Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Aspen Anesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2019 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Jan 1, 2019 Accepting new patients
Loyola Medical Group LLC CurrentSince Apr 1, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
CGH Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Encore Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 26, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 1, 2024 Accepting new patients
Valley Ambulatory Surgery Center Anesthesiology LTD CurrentSince Jan 4, 2020 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Dec 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 1, 2024 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Jul 19, 2023 Accepting new patients
CGH Medical Center CurrentSince Jul 1, 2020 Accepting new patients

Locations

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

1105 W Park Ave
Ste 1
Libertyville, IL 60048
Phone (847) 680-5880

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397

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

Interoperability endpoints

  • Direct secure messaging: kmalewicz20494@cghmc.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1609383496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 KEENE LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335523",
            "telephone_number": "708-752-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEWICZ",
        "first_name": "KRZYSZTOF",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209017062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmalewicz48868@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3249 Oak Park Ave",
            "city": "Berwyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604023429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.