Active NPI
Gideon Nkrumah, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209020033
- Practice address
- 1025 S 6TH St
Springfield, IL 62703-2499 - Phone
- (217) 528-7541
- NPI assigned
- Sep 12, 2019
- 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 | 209020033 | IL | Primary |
Addresses
Primary practice location
1025 S 6TH St
Springfield, IL 62703-2499
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other practice location 1
1800 E Lake Shore Dr
Decatur, IL 62521-3883
Phone (217) 464-7569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 N Main St
Bloomington, IL 61701-1784
Phone (309) 829-5311
1505 Eastland Dr
Bloomington, IL 61701-3534
Phone (309) 663-1997
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209020033 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Anesthesia Pain Services LLC | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| St Marys Hospital Decatur of the Hospital Sisters of the Third Order | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
9532 Eagle Way
Chicago, IL 60678
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
1025 S 6th St
Springfield, IL 62703
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- gideon.nkrumah.1@28977.direct.athenahealth.com
Organizations & group practices 6
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
- Streator, IL
- NPI 1790075489
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Rehabilitation Hospital Unit
- Decatur, IL
- NPI 1891961371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1992355812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032499",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "1800 E Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625213883",
"country_code": "US",
"telephone_number": "217-464-7569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NKRUMAH",
"first_name": "GIDEON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-12",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209020033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.