Anoop Banathia, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Melrose Park, IL
NPI 1821546938 · NPPES record last updated Feb 16, 2017
Key facts
- NPI
- 1821546938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209015301 (IL)
- Practice address
- 2912 Marion Ave
Melrose Park, IL 60164-1002 - Phone
- (847) 260-5115
- NPI assigned
- Sep 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rwjbh Observation Associates LLC
Practice addresses (Care Compare)
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
- Robert Wood Johnson University Hospital - Somerset
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170417000365 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1254617889 | Reassigns benefits to 1 organization |
| I20191030003044 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1254617889 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.382319 | IL | MD | Registered Nurse |
| 209015301 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| New Jersey Healthcare Specialists PC | Current |
Accepting new patients | |
| Rwjbh Observation Associates LLC | Current |
Accepting new patients |
Locations
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209015301 | IL | Yes |
| Registered Nurse | 163W00000X | 041.382319 | IL |
Addresses
Primary practice location
2912 Marion Ave
Melrose Park, IL 60164-1002
Mailing address
2912 Marion Ave
Melrose Park, IL 60164-1002
Phone (847) 260-5115
Other providers in Melrose Park, IL
- Laurie Bachrach
- Michele M Bailey
- Shannon Bailey
- John Bajgrowicz
- Susan Calvadores Balverde
- Vishali Banathia
- Manatosh Banerji
- Latesha Renee Banks
- Douglas William Barge
- Tionna A Barney
All providers in Melrose Park, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.