Individual provider Active NPI

Suada N Spirtovic, MD

  • Anesthesiology Physician
  • Naperville, IL
National Provider Identifier
1700972999
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036-108247 Issued in IL
Practice address
40 Shuman Blvd
Naperville, IL 60563-8446
Phone
(312) 671-5000
NPI assigned
Oct 5, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036108247MedicaidIL
P00618465OtherILMEDICARE RAILROAD
01638884OtherILBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040807000119 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 1052383320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Anesthesia Group LLCGroup PAC ID 1658525753, 6 clinicians

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

LicenseStateTypeSpecialty
036-108247ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Anesthesia Group, LLC Anesthesiology CurrentSince Feb 17, 2022 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.