Eduardo Ornelas

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209025338 Issued in IL

Practice address

23230 S Ford Rd
Minooka, IL 60447-9210

Phone

(815) 981-0175

NPI assigned

Feb 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

R Franklin University of Med & Sci/Chicago Medical School, 2022

Medicare assignment

May accept Medicare assignment

Group practices

North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Premier Anesthesia of Illinois Professional CorporationGroup PAC ID 1254826175, 42 clinicians

Novus Illinois Service CorporationGroup PAC ID 6901293786, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

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.

• North American Partners in Anesthesia (Illinois), LLC

  • Anesthesiology Physician
  • Oak Park, IL
  • NPI 1699032524
  Medicare reassignment Care Compare group NPD
• Novus Illinois Service Corporation

  • Anesthesiology Physician
  • Kankakee, IL
  • NPI 1295491744

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Illinois Professional Corporation

  • Anesthesiology Physician
  • Kankakee, IL
  • NPI 1932089778

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Galesburg, IL
  • NPI 1316399967

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• G & G Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Maryville, IL
  • NPI 1487020111

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289
  Medicare reassignment NPD
• 360 Anesthesia PLLC

  • Anesthesiology Physician
  • Wilkes Barre, PA
  • NPI 1811637366

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Illinois, LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1962822395

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
  • NPI 1992754089

  IL

  Medicare reassignment NPD
• Vital Health Partners LLC

  • Hospitalist Physician
  • Miami Lakes, FL
  • NPI 1043101207

  IL

  Medicare reassignment NPD
• Oncology Hematology Associates of Northern Illinois, LTD

  • Hematology & Oncology Physician
  • Gurnee, IL
  • NPI 1093142135
  NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766

  Nurse Anesthetist, Certified Registered

  NPD

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

• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1942892385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MUSTANG RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23230 S FORD RD",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479210",
            "telephone_number": "815-981-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209025338",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041444563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Monahan, MHS, CCC/SLP-L
• Ashley Morgan, LPC
• Mary Margaret Morris, LCSW
• Myeyedr Optometry of Illinois, LLC
• Nancy Jayne Nelson, LCSW
• Jean E Pempe, DPT
• Christie Nicole Perretta, MSW
• Pocket Full of Wiggles PLLC
• Melissa E Porfirio
• Jennifer Praveen

• Certified Registered Nurse Anesthetist in Minooka, IL
• Providers in Minooka, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.