NPIMap

Organization Active NPI

Central Illinois Anesthesiology Associates, LTD

  • Anesthesiology Physician
  • Bloomington, IL
National Provider Identifier
1770887267
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CENTRAL ILLINOIS ANESTHESIOLOGY ASSOCIATES, LTD
Practice address
3801 Ireland Grove Rd
Bloomington, IL 61704-5297
Phone
(309) 664-0101
Fax
(309) 664-1010
NPI assigned
Dec 27, 2010
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Praful Vakil, M.D.
Title
President
Phone
(217) 419-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

3801 Ireland Grove Rd
Bloomington, IL 61704-5297

Mailing address

1208 Cozzene Dr
Mahomet, IL 61853-3740

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1770887267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 COZZENE DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618533740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 IRELAND GROVE RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617045297",
            "telephone_number": "309-664-0101",
            "fax_number": "309-664-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS ANESTHESIOLOGY ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "VAKIL",
        "authorized_official_first_name": "PRAFUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-419-3399",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.