Pankaj J Haridas, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036097116 Issued in IL

Practice address

8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436

Phone

(708) 831-8282

Fax

(773) 714-1229

NPI assigned

Dec 8, 2006

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Interventional Pain Management, Pain Management

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Oak Brook Anesthesiologists LTDGroup PAC ID 3870554298, 20 clinicians

George N Atia MD SCGroup PAC ID 2961506670, 12 clinicians

Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Town Square Anesthesia LLCGroup PAC ID 9335047455, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Clinical Colleagues LLC

  • Anesthesiology Physician
  • Galesburg, IL
  • NPI 1316399967
  Medicare reassignment Care Compare group NPD
• George N Atia, M.D., S.C.

  dba The Illinois Center for Digestive and Liver health

  • Gastroenterology Physician
  • Barrington, IL
  • NPI 1730214271
  Medicare reassignment Care Compare group NPD
• Oak Brook Anesthesiologists, LTD.

  • Anesthesiology Physician
  • Oak Brook, IL
  • NPI 1881705937
  Medicare reassignment Care Compare group NPD
• Town Square Anesthesia LLC

  • Anesthesiology Physician
  • Woodstock, IL
  • NPI 1669471017
  Medicare reassignment Care Compare group NPD
• Ace Health Center, LTD.

  • Anesthesiology Physician
  • Wood Dale, IL
  • NPI 1508912379
  Medicare reassignment NPD
• Ias Illinois PC

  • Anesthesiology Physician
  • Geneva, IL
  • NPI 1265118723
  Medicare reassignment NPD
• Midwest Anesthesia Partners, LLC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1255380184
  Medicare reassignment NPD
• Clinical Colleagues LLC

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766
  NPD
• Northwest Suburban Anesthesiologists LTD

  • Anesthesiology Physician
  • Arlington Heights, IL
  • NPI 1649211582
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1669531208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604990443",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 W BRYN MAWR AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313436",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIDAS",
        "first_name": "PANKAJ",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036097116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Leatha Hargadon, AMFT
• Robert Todd Hargan, M.D.
• Chelsea Alexandra Hargitt, LCSW
• Joseph D Hargitt, PT, DPT
• Hari Agrawal MD SC
• Naeha Haridasa
• Samika Hariharan
• Syona Hariharan
• Anantha Krishnan Harijith, MD
• Praseetha Harilal

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.