NPIMap

Organization Active NPI

Iroquois Anesthesia Services PC

  • Specialist
  • Watseka, IL
National Provider Identifier
1659538916
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036067666 Issued in IL
Legal business name
IROQUOIS ANESTHESIA SERVICES PC
Practice address
514 S 5TH St
Watseka, IL 60970-1637
Phone
(815) 432-5747
Fax
(815) 432-5747
NPI assigned
May 22, 2008
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kashyap S Bhatt, MDNPI 1417082827
Title
President/Owner
Phone
(815) 432-5747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036067666 IL Primary

Addresses

Primary practice location

514 S 5TH St
Watseka, IL 60970-1637

Mailing address

514 S 5TH St
Watseka, IL 60970-1637
Phone (815) 432-5747

Other identifiers 4

IdentifierTypeStateIssuer
050026030OtherRAIL ROAD MEDICARE
03815089OtherILBLUE CROSS BLUE SHIELD
036067666MedicaidIL
100031610AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1659538916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S 5TH ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701637",
            "telephone_number": "815-432-5747",
            "fax_number": "815-432-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S 5TH ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701637",
            "telephone_number": "815-432-5747",
            "fax_number": "815-432-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "KASHYAP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-432-5747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036067666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "050026030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03815089",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067666",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.