Individual provider Active NPI

Pratibha Rastogi, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1831189588
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036081961 Issued in IL
Practice address
13601 Preston Rd
Suite 1000 W
Dallas, TX 75240-4911
Phone
(972) 715-5007
Fax
(972) 715-5682
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036081961 IL Primary

Addresses

Primary practice location

13601 Preston Rd
Suite 1000 W
Dallas, TX 75240-4911

Mailing address

PO Box 660832
Dallas, TX 75266-0832
Phone (972) 715-5000

Other identifiers 2

IdentifierTypeStateIssuer
27-4170061OtherILBCBS
0360819616MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000846 IL Practitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 5395635767 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Emergency Medicine, Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Great Lakes Emergency Physicians Medical Group SCGroup PAC ID 8527493105, 15 clinicians

Practice addresses (Care Compare)

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020

2650 Ridge Ave
Evanston, IL 60201-1700

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7500

Hospital & facility affiliations

  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
  • Holy Cross Hospital Hospital, Chicago, IL, CCN 140133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Gastroenterology Group, LLC CurrentSince May 15, 2021 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Windy City Anesthesia PC Anesthesiology CurrentSince Sep 5, 2023 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 19, 2021 Accepting new patients
Great Lakes Emergency Physicians Medical Group SC CurrentSince Dec 2, 2019 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince May 21, 2018 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Nov 20, 2023 Accepting new patients
Premiere Anesthesia Group LLC CurrentSince Feb 15, 2019 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Jun 19, 2019 Accepting new patients
Pri Chicago PLLC CurrentSince Jan 11, 2022 Accepting new patients
Encore Anesthesia Group LLC Anesthesiology CurrentSince Oct 19, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 19, 2021 Accepting new patients
Windy City Anesthesia PC CurrentSince Sep 5, 2023 Accepting new patients
Endeavor Health Medical Group Anesthesiology Current Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Horizon Emergency Physician Group, LTD Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Gregory Emergency Physicians Anesthesiology Past Accepting new patients
Priority Anesthesia LLC Anesthesiology Past Accepting new patients

Locations (25 of 31)

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

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

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

9532 Eagle Way
Chicago, IL 60678

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

355 E Grand Ave
Chicago, IL 60611
Phone (312) 587-3432

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

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

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

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

1300 N Arlington Heights Rd
Ste 150
Itasca, IL 60143
Phone (630) 634-2980

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

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

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

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

Interoperability endpoints

  • Direct secure messaging: pratibharastogi@jph.medalliesdirect.net
  • Direct secure messaging: prastogi202888@uchospital.direct-ci.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1831189588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660832",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660832",
            "telephone_number": "972-715-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "SUITE 1000 W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-715-5007",
            "fax_number": "972-715-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "PRATIBHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036081961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27-4170061",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360819616",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.