NPIMap

Organization Active NPI

Oak Brook Anesthesiologists, LTD.

  • Anesthesiology Physician
  • Oak Brook, IL
National Provider Identifier
1881705937
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OAK BROOK ANESTHESIOLOGISTS, LTD.
Practice address
2425 W 22ND St
Suite 101
Oak Brook, IL 60523-4642
Phone
(630) 990-2212
Fax
(630) 990-3130
NPI assigned
Aug 31, 2006
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Kianoosh Jafari, M.D.NPI 1902918048
Title
Medical Director
Phone
(630) 990-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2425 W 22ND St
Suite 101
Oak Brook, IL 60523-4642

Mailing address

2425 W 22ND St
Suite 101
Oak Brook, IL 60523-4642
Phone (630) 990-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020000126 IL Part B Supplier - Clinic/Group Practice 3870554298 Receives reassigned benefits from 64 practitioners
Practice locations: Addison, IL; Hoffman Estates, IL; Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1881705937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE 101",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234642",
            "telephone_number": "630-990-2212",
            "fax_number": "630-990-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE 101",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234642",
            "telephone_number": "630-990-2212",
            "fax_number": "630-990-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK ANESTHESIOLOGISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "JAFARI",
        "authorized_official_first_name": "KIANOOSH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-990-7770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.