Individual provider Active NPI

Dennis B Sudimak, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1972553345
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-134338 Issued in OH
Practice address
190 N Union St
Ste 104
Akron, OH 44304-1369
Phone
(330) 253-9145
Fax
(330) 253-6222
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 RN-134338 OH Primary

Addresses

Primary practice location

190 N Union St
Ste 104
Akron, OH 44304-1369

Mailing address

190 N Union St
Ste 104
Akron, OH 44304-1369
Phone (330) 253-9145

Other identifiers 7

IdentifierTypeStateIssuer
0751351MedicaidOH
120798OtherOHKAISER PERMANENTE INDV #
730610OtherOHBUCKEYE COMMUNITY HLTH PL
100153OtherOHEMPLOYER KAISER GROUP #
000000125766OtherOHANTHEM BCBS INDV NUMBER
2080224OtherOHEMP UNITED HEALTHCARE GRP
7091249MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-134338OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Lima Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Southwest Anesthesiology Group, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972553345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N UNION ST",
            "address_2": "STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041369",
            "telephone_number": "330-253-9145",
            "fax_number": "330-253-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N UNION ST",
            "address_2": "STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041369",
            "telephone_number": "330-253-9145",
            "fax_number": "330-253-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDIMAK",
        "first_name": "DENNIS",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-134338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751351",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE INDV #",
            "identifier": "120798",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HLTH PL",
            "identifier": "730610",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER KAISER GROUP #",
            "identifier": "100153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS INDV NUMBER",
            "identifier": "000000125766",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP UNITED HEALTHCARE GRP",
            "identifier": "2080224",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.