Active NPI
Anastacio Tan Saavedra, M.D.
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1881610590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036-042085
- Practice address
- 5645 W Addison St
Chicago, IL 60634-4403 - Phone
- (773) 282-7000
- Fax
- (847) 692-5114
- NPI assigned
- Jul 14, 2006
- Last updated
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 036-042085 | IL | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036-042085 | IL |
Addresses
Primary practice location
5645 W Addison St
Chicago, IL 60634-4403
Mailing address
141 N Dee Rd
Park Ridge, IL 60068-2812
Phone (847) 692-6116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036042085 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-042085 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Healthcare Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1891011839
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1043748338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1881610590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 N DEE RD",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682812",
"telephone_number": "847-692-6116",
"fax_number": "847-692-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344403",
"telephone_number": "773-282-7000",
"fax_number": "847-692-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAVEDRA",
"first_name": "ANASTACIO",
"middle_name": "TAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-042085",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036-042085",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036042085",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.