Active NPI
Eliah B Spasevski, CRNA
- Certified Registered Nurse Anesthetist
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28134611A
- Practice address
- 8701 Broadway # C-124
Merrillville, IN 46410-7035 - Phone
- (219) 738-4929
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28134611A | IN | Primary |
Addresses
Primary practice location
8701 Broadway # C-124
Merrillville, IN 46410-7035
Mailing address
PO Box 1123
Jackson, MI 49204-1123
Phone (517) 787-6440
Other names 1
- Ilija Spasevski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551
Hospital & facility affiliations
- St Mary Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28134611A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients | |
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Lakeshore Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Methodist Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Past | Accepting new patients |
Locations
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
8900 Broadway
Ste 100W
Merrillville, IN 46410
Phone (219) 576-6260
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Hobart, IN
- NPI 1548210560
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
- Anesthesiology Physician
- Saint John, IN
- NPI 1699724781
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1427619840
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bremen, IN
- NPI 1992754089
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1821045410
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1962414896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1123",
"city": "JACKSON",
"state": "MI",
"postal_code": "492041123",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 BROADWAY # C-124",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107035",
"telephone_number": "219-738-4929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPASEVSKI",
"first_name": "ELIAH",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28134611A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ILIJA",
"last_name": "SPASEVSKI",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.