Individual provider Active NPI

Therese A Bugaj, APN-CRNA

  • Certified Registered Nurse Anesthetist
  • Lansing, IL
National Provider Identifier
1770580946
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209000530 Issued in IL
Practice address
18221 Torrence Ave
Suite 1-D
Lansing, IL 60438-2870
Phone
(708) 895-9450
Fax
(847) 895-9455
NPI assigned
Jul 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041-144120 IL
Certified Registered Nurse Anesthetist 367500000X 209000530 IL Primary

Addresses

Primary practice location

18221 Torrence Ave
Suite 1-D
Lansing, IL 60438-2870

Mailing address

1174 Oak Knoll Dr
Lake Forest, IL 60045-3648
Phone (847) 234-0045

Other practice location 1

2650 Ridge Ave
Department of Anesthesia
Evanston, IL 60201-1718
Phone (847) 570-2760

Other names 1

  • Therese Bugaj Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-144120ILMDRegistered Nurse
209000530ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Current Accepting new patients
Orion Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Nov 1, 2002 Accepting new patients

Locations

9609 Eagle Way
Chicago, IL 60678
Phone (866) 552-7288

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

9669 Kenton Ave
Ste 602
Skokie, IL 60076
Phone (847) 674-4344

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1770580946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 OAK KNOLL DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453648",
            "telephone_number": "847-234-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 TORRENCE AVE",
            "address_2": "SUITE 1-D",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382870",
            "telephone_number": "708-895-9450",
            "fax_number": "847-895-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave",
            "address_2": "Department of Anesthesia",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011718",
            "country_code": "US",
            "telephone_number": "847-570-2760",
            "fax_number": "847-570-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUGAJ",
        "first_name": "THERESE",
        "middle_name": "A",
        "credential": "APN-CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-04",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-144120",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESE",
            "last_name": "BUGAJ",
            "credential": "C.R.N.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.