Individual provider Active NPI

Juliya Soldyshev, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Louis, MO
National Provider Identifier
1780983361
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041352560 Issued in IL
Practice address
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone
(314) 768-8442
Fax
(314) 768-8918
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.0020203 OH
Certified Registered Nurse Anesthetist 367500000X 2006022695 MO
Certified Registered Nurse Anesthetist 367500000X 041352560 IL Primary

Addresses

Primary practice location

6420 Clayton Rd
Saint Louis, MO 63117-1811

Mailing address

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8442

Other practice location 1

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160304001571 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517144868 Reassigns benefits to 4 organizations
I20160407000520 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517144868 Reassigns benefits to 13 organizations
I20210127002741 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517144868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Ashland Medical Specialist IncGroup PAC ID 0840438883, 5 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians

Practice addresses (Care Compare)

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

2041 W Division St
Chicago, IL 60622-8521
Phone (312) 624-8364

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041352560ILMDCertified Registered Nurse Anesthetist
2006022695MOMDCertified Registered Nurse Anesthetist
APRN.CRNA.0020203OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Dec 1, 2018 Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Mar 6, 2023 Accepting new patients
Ashland Medical Specialist Inc CurrentSince Feb 23, 2025 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2016 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince May 1, 2017 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Dec 9, 2020 Accepting new patients
Sahag LLC CurrentSince Oct 31, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Promedica Central Physicians CurrentSince Jan 25, 2021 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Jun 1, 2021 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2022 Accepting new patients
Carle West Physician Group Inc CurrentSince Aug 26, 2024 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2022 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Jun 19, 2024 Accepting new patients
The Pain Center of Illinois Inc. CurrentSince Feb 23, 2025 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elite Anesthesia Group Inc. CurrentSince May 1, 2021 Accepting new patients
Elmhurst Anesthesiologists, PC CurrentSince Nov 26, 2021 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Jun 1, 2021 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2016 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2016 Accepting new patients
Redreef Anesthesia Associates Chartered Indiana LLC CurrentSince Apr 25, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Aug 5, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Jan 25, 2021 Accepting new patients
Anesthesia Partners, LTD. Past Accepting new patients
CMSC, LLC Past Accepting new patients

Locations (25 of 32)

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

7456 S State Rd
Ste 300
Bedford Park, IL 60638
Phone (708) 424-6500

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

1200 S York St
Elmhurst, IL 60126
Phone (630) 527-3200

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

530 N Cass Ave
Westmont, IL 60559
Phone (630) 794-8688

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

12800 Mississippi Pkwy
Crown Point, IN 46307
Phone (219) 662-5560

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

Interoperability endpoints

  • Direct secure messaging: jsoldyshevcnra418296@carlehiedirect.net

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1780983361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "telephone_number": "314-768-8442",
            "fax_number": "314-768-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "telephone_number": "314-768-8442",
            "fax_number": "314-768-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 N Cove Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063895",
            "country_code": "US",
            "telephone_number": "419-291-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLDYSHEV",
        "first_name": "JULIYA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020203",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2006022695",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041352560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.