Active NPI
Emily Kristen Chakraborty, CRNA
- Certified Registered Nurse Anesthetist
- Painesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.09658
- Practice address
- 7757 Auburn Rd Ste 15
Painesville, OH 44077-9604 - Phone
- (440) 350-0832
- Fax
- (440) 354-7420
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Primary Care Practices Inc
Ohio Anesthesia Group, Inc
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
25501 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5603
Phone (844) 746-8537
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 350-0832
Hospital & facility affiliations
- Lake Health Beachwood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.79 of 100
- Quality
- 71.01
- Improvement activities
- 40
- Cost
- 82.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071026000358 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3072600840 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.09658 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University Hospitals Medical Group Inc | Current |
Accepting new patients | |
| University Primary Care Practices Inc | Current |
Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current |
Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
11100 Euclid Ave
Cleveland Heights, OH 44106
7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150
7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755
2165 Mentor Ave
Ste 1
Painesville, OH 44077
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Interoperability endpoints
- echakraborty96888@ehrdirect.uhhospitals.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.09658 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7757 Auburn Rd Ste 15
Painesville, OH 44077-9604
Mailing address
7757 Auburn Rd Ste 15
Painesville, OH 44077-9604
Phone (440) 350-0832
Other practice location 1
7590 Auburn Rd
Painesville, OH 44077-9176
Phone (440) 350-0832
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2805683 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2020.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1770770976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7757 AUBURN RD STE 15",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779604",
"telephone_number": "440-350-0832",
"fax_number": "440-579-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7757 AUBURN RD STE 15",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779604",
"telephone_number": "440-350-0832",
"fax_number": "440-354-7420"
}
],
"practiceLocations": [
{
"address_1": "7590 Auburn Rd",
"address_purpose": "LOCATION",
"city": "Painesville",
"state": "OH",
"postal_code": "440779176",
"country_code": "US",
"telephone_number": "440-350-0832",
"fax_number": "440-579-0191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAKRABORTY",
"first_name": "EMILY",
"middle_name": "KRISTEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.09658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2805683",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.