Active NPI
Carmel Santos Sparacio, APN-CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209017400
- Practice address
- 251 E Huron St
Chicago, IL 60611-2908 - Phone
- (312) 695-5625
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209017400 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Chicago, IL 60611-2908
Mailing address
2650 Ridge Ave. Suite #1223
Evanston, IL 60201-1718
Phone (475) 702-7608
Other practice location 1
2650 Ridge Ave.
Evanston, IL 60201-1718
Phone (475) 702-7608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
251 E Huron
704 Dept of Anes
Chicago, IL 60611-2908
Phone (312) 926-2280
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
251 E Huron St
Ste 5
Chicago, IL 60611
Phone (312) 926-2280
251 E Huron St
Ste 5704
Chicago, IL 60611
Phone (312) 695-0061
9532 Eagle Way
Chicago, IL 60678
251 E Huron St
Chicago, IL 60611
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1689172512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE. SUITE #1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "475-702-7608",
"fax_number": "847-570-2921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-695-5625"
}
],
"practiceLocations": [
{
"address_1": "2650 Ridge Ave.",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011718",
"country_code": "US",
"telephone_number": "475-702-7608",
"fax_number": "847-570-2921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARACIO",
"first_name": "CARMEL",
"middle_name": "SANTOS",
"credential": "APN-CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2024-09-20",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209017400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.