Individual provider Active NPI

Daniel W. Borvan, CRNA

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1962404442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209003563 Issued in IL
Practice address
2233 W Division St
Chicago, IL 60622-3043
Phone
(312) 770-2000
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209003563 IL Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-3043

Mailing address

328 E Lincoln Hwy
New Lenox, IL 60451-1849
Phone (815) 462-8470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NE, WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031211001040 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264336510 Reassigns benefits to 1 organization
I20091116000430 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264336510 Reassigns benefits to 1 organization
I20091211000536 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264336510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windy City Anesthesia PCGroup PAC ID 9234033572, 35 clinicians

Practice addresses (Care Compare)

21120 Washington Pkwy
Frankfort, IL 60423-3112
Phone (815) 469-9750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Omaha Surgical Center LLC Current Accepting new patients
Metro Milwaukee Anesthesia Associates SC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients
Windy City Anesthesia, PC Past Accepting new patients
Deerpath Ambulatory Surgical Center, LLC Past Accepting new patients
Allied Anesthesia Associates, P.C. Past Accepting new patients

Locations

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

3201 S 24th St
Omaha, NE 68108
Phone (402) 345-9132

850 Geneva Pkwy N
Lake Geneva, WI 53147
Phone (262) 299-6199

15324 W Beloit Rd
Ste 300A
New Berlin, WI 53151
Phone (414) 761-0981

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962404442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 E LINCOLN HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511849",
            "telephone_number": "815-462-8470",
            "fax_number": "815-462-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223043",
            "telephone_number": "312-770-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORVAN",
        "first_name": "DANIEL",
        "middle_name": "W.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209003563",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.