Mr Taqi Qays Abdu-as-salaam, CRNA | |
500 N Nappanee St, Suite 11, Elkhart, IN 46514-1503 | |
(574) 522-9922 | |
Not Available |
Full Name | Mr Taqi Qays Abdu-as-salaam |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 500 N Nappanee St, Elkhart, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013345412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28212423A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209013942 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
Franciscan Health Munster | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
Northstar Anesthesia Of Illinois, Llc | 4688893878 | 259 |
Entity Name | Northstar Anesthesia Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
Entity Name | Redreef Anesthesia Associates Chartered Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215783766 PECOS PAC ID: 7012459647 Enrollment ID: O20240611000371 |
Mailing Address | Practice Location Address |
---|---|
Mr Taqi Qays Abdu-as-salaam, CRNA 542 W Englewood Ave, Chicago, IL 60621-3240 Ph: (773) 425-2344 | Mr Taqi Qays Abdu-as-salaam, CRNA 500 N Nappanee St, Suite 11, Elkhart, IN 46514-1503 Ph: (574) 522-9922 |
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 | |
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926 | |
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922 | |
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 | |
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193 | |
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463 |