Active NPI
Suada N Spirtovic, MD
- Anesthesiology Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036-108247
- Practice address
- 40 Shuman Blvd
Naperville, IL 60563-8446 - Phone
- (312) 671-5000
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-108247 | IL | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036108247 | IL | |
| Family Medicine Physician | 207Q00000X | 036108247 | IL |
Addresses
Primary practice location
40 Shuman Blvd
Naperville, IL 60563-8446
Mailing address
900 N Kingsbury St
Ste 825
Chicago, IL 60610-7432
Phone (312) 671-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108247 | Medicaid | IL | |
| P00618465 | Other | IL | MEDICARE RAILROAD |
| 01638884 | Other | IL | BLUE CROSS AND BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 W 111TH St
Chicago, IL 60628-4200
Phone 77399530003116
850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-108247 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Anesthesia Group, LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Illinois, LLC | Anesthesiology | Past | Accepting new patients |
| Metro Anesthesia Consultants LLC | Anesthesiology | Past | Accepting new patients |
Locations
26413 Network Pl
Chicago, IL 60673
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1770835126
-
dba Roseland Community Hospital
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1306029889
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1861670002
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1669653580
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1326224270
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
-
dba Methodist Hospital of Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1891755351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1700972999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N KINGSBURY ST",
"address_2": "STE 825",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606107432",
"telephone_number": "312-671-5000",
"fax_number": "312-337-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SHUMAN BLVD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638446",
"telephone_number": "312-671-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRTOVIC",
"first_name": "SUADA",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-108247",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036108247",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036108247",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108247",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00618465",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "01638884",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.