Individual provider Active NPI

Muzammil Soorma

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1992449094
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209025486 Issued in IL
Practice address
5645 W Addison St
Chicago, IL 60634-4403
Phone
(740) 703-8108
NPI assigned
Apr 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041440822 IL
Certified Registered Nurse Anesthetist 367500000X 209025486 IL Primary

Addresses

Primary practice location

5645 W Addison St
Chicago, IL 60634-4403

Mailing address

9425 Churchill Dr
Hickory Hills, IL 60457-7203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912000243 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496130569 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Brook Anesthesiologists LTDGroup PAC ID 3870554298, 20 clinicians
Town Square Anesthesia LLCGroup PAC ID 9335047455, 21 clinicians

Practice addresses (Care Compare)

1800 McDonough Rd
Suite 100
Hoffman Estates, IL 60192-4524
Phone (847) 742-7272

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

Hospital & facility affiliations

  • Community First Medical Center Hospital, Chicago, IL, CCN 140251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041440822ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Huntley Anesthesia Associates LLC CurrentSince Feb 2, 2023 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Oak Brook Anesthesiologists, LTD. CurrentSince Oct 1, 2022 Accepting new patients
Town Square Anesthesia LLC CurrentSince Aug 1, 2022 Accepting new patients
Sedation Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients

Locations

5600 W Addison St
Ste 305
Chicago, IL 60634
Phone (773) 725-0760

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

999 E Touhy Ave
Ste 350
Des Plaines, IL 60018
Phone (224) 725-5850

4333 Main St
Downers Grove, IL 60515
Phone (630) 322-9451

731 S State Route 21
Gurnee, IL 60031
Phone (847) 247-0187

1800 McDonough Rd
Ste 100
Hoffman Estates, IL 60192
Phone (630) 928-1103

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000

1S210 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 282-6000

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1992449094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 CHURCHILL DR",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604577203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "740-703-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOORMA",
        "first_name": "MUZAMMIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041440822",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209025486",
            "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 14, 2024; 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.