Active NPI
Bella Y Padaoan, CRNA
- Certified Registered Nurse Anesthetist
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209001499
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-2450
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 041-172412 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209001499 | IL | Primary |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
PO Box 486
Lake Forest, IL 60045
Phone (800) 444-6110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041-172412 | Other | IL | STATE LICENSE |
| 209001499 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Hospital & facility affiliations
- The University of Chicago Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-172412 | IL | MD | Anesthesiology Physician |
| 209001499 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| American Anesthesiology Associates of Illinois, S.C. | Anesthesiology | Current | Accepting new patients |
| University of Chicago | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| MN Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of Illinois, LLC | Anesthesiology | Past | Accepting new patients |
| Metro Area Pain Consultants, LTD | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
Interoperability endpoints
- bpadaoanapn13599@uchospital.direct-ci.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Specialist
- Kankakee, IL
- NPI 1912982125
-
- Anesthesiology Physician
- Berwyn, IL
- NPI 1245275726
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1326224270
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1821179524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 486",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "60045",
"telephone_number": "800-444-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 OAK PARK AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023429",
"telephone_number": "708-783-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADAOAN",
"first_name": "BELLA",
"middle_name": "Y",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "041-172412",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209001499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "041-172412",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209001499",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.