Claude L Adriatico, MD
Individual provider Active NPI Anesthesiology Physician · South Bend, IN
NPI 1891887063 · NPPES record last updated Oct 3, 2008
Key facts
- NPI
- 1891887063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 01065705A (IN)
- Practice address
- 416 E Monroe St
Ste. 200
South Bend, IN 46601-2371 - Phone
- (574) 232-8119
- Fax
- (574) 288-0235
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gottlieb Midwest Anesthesiologists, LLC
Practice addresses (Care Compare)
701 W N Ave
Melrose Park, IL 60160-1612
Phone (708) 681-3200
Hospital & facility affiliations
- Uchicago Medicine Adventhealth la Grange
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041119000569 | IL | Practitioner - Anesthesiology | 4284699182 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065705A | IN | MD | Anesthesiology Physician |
| 35080148 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current |
Accepting new patients |
| Chicago Surgical Clinic, LTD. | Current |
Accepting new patients | |
| Gottlieb Midwest Anesthesiologists, LLC | Anesthesiology | Current |
Accepting new patients |
| Associated Anesthesiologists of Springfield | Past | Accepting new patients | |
| Associated Surgical Center LLC | Past |
Accepting new patients | |
| Mercy Anesthesiologists Inc | Anesthesiology | Past | Accepting new patients |
| Springfield Regional Anesthesia, Inc | Anesthesiology | Past | Accepting new patients |
Locations
129 W Rand Rd
Ste 1
Arlington Heights, IL 60004
Phone (847) 215-0530
129 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 215-0530
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
9145 Collection Ctr Dr
Chicago, IL 60693
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
387 Shuman Blvd
Ste 240W
Naperville, IL 60563
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35080148 | OH | |
| Anesthesiology Physician | 207L00000X | 01065705A | IN | Yes |
Addresses
Primary practice location
416 E Monroe St
Ste. 200
South Bend, IN 46601-2371
Mailing address
416 E Monroe St
Ste. 200
South Bend, IN 46601-2371
Phone (574) 232-8119
Other providers in South Bend, IN
- Julie Anne Addis
- Opeyemi Adesina
- Patrick Adkins
- Payton Elizabeth Adkins
- Hailey May Adler
- Esther Pokuaa Adu
- Advanced Center for Cardiothoracic Surgery LLC
- Advanced Medical Computing Inc
- Advanced Ophthalmology of Michiana LLC
- Advanced Ophthalmology of Michiana LLC
All providers in South Bend, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2008. 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.
- Order and Referring (CMS).
- 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.