Active NPI
Pratibha Rastogi, MD
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036081961
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-4170061 | Other | IL | BCBS |
| 0360819616 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040318000846 | IL | Practitioner - Anesthesiology | 5395635767 | Reassigns benefits to 11 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Health Medical GroupNorth American Partners in Anesthesia Illinois LLCGreat Lakes Emergency Physicians Medical Group SC
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
- Holy Cross Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Windy City Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Great Lakes Emergency Physicians Medical Group SC | Current | Accepting new patients | |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current | Accepting new patients |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| Premiere Anesthesia Group LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Pri Chicago PLLC | Current | Accepting new patients | |
| Encore Anesthesia Group LLC | Anesthesiology | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Windy City Anesthesia PC | Current | 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
- pratibharastogi@jph.medalliesdirect.net
- 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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Anesthesiology, IL
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1689212581
IL
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
Anesthesiology, IL
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
Anesthesiology, IL
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Anesthesiology, IL
-
- Certified Registered Nurse Anesthetist
- Park Ridge, IL
- NPI 1720467392
IL
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Anesthesiology, IL
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.