Jason Kish, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

89219 Issued in IL

Practice address

3881 E Camelot Cir Apt 302
Decatur, IL 62526-2078

Phone

(219) 765-7400

NPI assigned

Jul 5, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sahag LLCGroup PAC ID 4486913480, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Sahag LLC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1174035513
  Medicare reassignment Care Compare group

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

• Saint Anthony Hospital

  • General Acute Care Hospital
  • Cicero, IL
  • NPI 1184490062
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1194723999
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1538655949
  Care Compare affiliation
• Saint Anthony Hospital

  • Children's Hospital
  • Chicago, IL
  • NPI 1619456423
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1710877386
  Care Compare affiliation
• Saint Anthony Hospital

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1790490563

  Hospital

  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1881363224
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912397480
  Care Compare affiliation

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1730444845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3881 E CAMELOT CIR APT 302",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 E CAMELOT CIR APT 302",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262078",
            "telephone_number": "219-765-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH",
        "first_name": "JASON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "89219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA LICENSE",
            "identifier": "89219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS RN LICENSE",
            "identifier": "041350231",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlyssa King
• Kristin L King
• Rodney Kingston, MD
• Courtney Dyan Kirk
• Audria R Kirkum
• Kimberly A Kish, APN, CNP
• Therese Kistenfeger, AU.D.
• Suzanne Michelle Kistner-Davis, D.C.
• Shannon Dawn Klaska, BCABA
• Susan M Klein, M.D.

• Certified Registered Nurse Anesthetist in Decatur, IL
• Providers in Decatur, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.

Verify at the official NPI Registry.