Organization Active NPI

Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
National Provider Identifier
1992754089
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
STAT ANESTHESIA SPECIALISTS, LTD.
Practice address
1020 High Rd
Bremen, IN 46506-1093
Phone
(317) 697-1407
Fax
(574) 400-0283
NPI assigned
May 8, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Brian SchmutzlerNPI 1063711745
Title
President
Phone
(317) 697-1407

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

1020 High Rd
Bremen, IN 46506-1093

Mailing address

PO Box 70
Lake Forest, IL 60045-0070
Phone (800) 444-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060824000282 IL Part B Supplier - Clinic/Group Practice 8123031473 Receives reassigned benefits from 59 practitioners
O20070529000372 IN Part B Supplier - Clinic/Group Practice 8123031473 Receives reassigned benefits from 98 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint John, IN; Valparaisio, IN; Schererville, IN; Munster, IN; Merrillville, IN; La Porte, IN; Highland, IN; Hammond, IN…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3443 N Kennicott Ave
Arlington Hts, IL 60004
Phone (847) 577-6400

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

1411 McHenry Rd
Ste 127
Buffalo Grove, IL 60089
Phone (847) 246-2500

1960 N Lincoln Park W
Ste 2
Chicago, IL 60614
Phone (773) 327-3131

30 Tower Ct
Ste F
Gurnee, IL 60031
Phone (847) 662-1818

254 Republic Ave
Joliet, IL 60435
Phone (815) 725-7700

18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600

114 W Rockland Rd
Ste 201
Libertyville, IL 60048
Phone (847) 362-0100

246 E Janata Blvd
Ste 130
Lombard, IL 60148
Phone (331) 300-1440

4440 Lincoln Hwy
Ste 102
Matteson, IL 60443
Phone (708) 481-3338

201 E Strong St
Ste 2
Wheeling, IL 60090
Phone (847) 392-8080

2203 45th St
Ste B
Highland, IN 46322
Phone (219) 836-4820

9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051

6855 S 27th St
Franklin, WI 53132
Phone (414) 388-9092

10105 74th St
Kenosha, WI 53142
Phone (262) 694-2720

10105 74th St
Ste 102
Kenosha, WI 53142
Phone (262) 694-2720

10117 74th St
Ste 15
Kenosha, WI 53142
Phone (262) 697-7770

5439 Durand Ave
Ste 101
Mount Pleasant, WI 53406
Phone (262) 554-8525

10919 W Bluemound Rd
Wauwatosa, WI 53226
Phone (888) 606-6736

Practitioners & affiliated clinicians

Practitioners 179

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.

View all 179

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1992754089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450070",
            "telephone_number": "800-444-6110",
            "fax_number": "708-895-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HIGH RD",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061093",
            "telephone_number": "317-697-1407",
            "fax_number": "574-400-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT ANESTHESIA SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHMUTZLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-697-1407",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.