Individual provider Active NPI

Thaddeus Herman, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1952353294
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28155396A Issued in IN
Practice address
1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone
(317) 887-7957
NPI assigned
May 16, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28155396 IN
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019435 OH
Certified Registered Nurse Anesthetist 367500000X 28155396A IN Primary

Addresses

Primary practice location

1402 E County Line Rd
Indianapolis, IN 46227-0963

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547

Other practice location 1

968 Paradrome St Apt A
Cincinnati, OH 45202-6038
Phone (574) 596-9686

Other practice location 2

6225 State Hwy 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0001

Other identifiers 1

IdentifierTypeStateIssuer
200431170MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111026000567 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719150309 Reassigns benefits to 4 organizations
I20170428000215 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719150309 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28155396INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cgi Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2021 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Apr 19, 2017 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2018 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Hancock Physician Network, LLC CurrentSince Mar 1, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 22, 2024 Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2003 Accepting new patients
Ogi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 22, 2024 Accepting new patients
Tri State Urologic Services PSC Inc PastSince Nov 3, 2024 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

500 N Nappanee St
Ste 11B
Elkhart, IN 46514

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

11333 Cornell Park Dr
Ste 100
Blue Ash, OH 45242
Phone (513) 569-1355

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541

4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

7661 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 233-4900

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

7360 Liberty One Dr
Ste 332
Liberty Township, OH 45044

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

4746 Montgomery Rd
Ste 100
Norwood, OH 45212
Phone (513) 569-1310

2610 N Limestone St
Springfield, OH 45503
Phone (614) 352-6479

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Interoperability endpoints

  • Direct secure messaging: therman618357@ecommunitydirect.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1952353294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 E COUNTY LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270963",
            "telephone_number": "317-887-7957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "968 Paradrome St Apt A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452026038",
            "country_code": "US",
            "telephone_number": "574-596-9686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 State Hwy 161 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382241",
            "country_code": "US",
            "telephone_number": "214-687-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "THADDEUS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28155396",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019435",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28155396A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200431170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.