Organization Active NPI

Iroquois Anesthesia Services, PC

  • Anesthesiology Physician
  • Watseka, IL
National Provider Identifier
1982850228
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036067666 Issued in IL
Legal business name
IROQUOIS ANESTHESIA SERVICES, PC
Practice address
514 S 5TH St
Watseka, IL 60970-1637
Phone
(815) 432-5747
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Kashyap Bhatt, MDNPI 1417082827
Title
President
Phone
(815) 432-5747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036067666 IL Primary

Addresses

Primary practice location

514 S 5TH St
Watseka, IL 60970-1637

Mailing address

514 S 5TH St
Watseka, IL 60970-1637
Phone (815) 432-5747

Other identifiers 1

IdentifierTypeStateIssuer
036067666MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1982850228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S 5TH ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701637",
            "telephone_number": "815-432-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S 5TH ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701637",
            "telephone_number": "815-432-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS ANESTHESIA SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "KASHYAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-432-5747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036067666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067666",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.