Taj Gubatanga, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Maywood, IL

  1. Home
  2. Nurse Anesthetist - CR
  3. IL
  4. Maywood
Taj Gubatanga, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maywood, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Loyola University Medical Center, Elmhurst Anesthesiologists, Pc and her current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 774-6297.

Taj Gubatanga is licensed to practice in Illinois (license number 209024958) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629747282.

Contact Information

Taj Gubatanga, CRNA
2160 S 1st Ave,
Maywood, IL 60153-3328
(312) 774-6297
Not Available

Map and Direction




Provider's Profile

Full NameTaj Gubatanga
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Taj Gubatanga graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1629747282
  • Provider Enumeration Date: 09/08/2021
  • Last Update Date: 05/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941697171
  • Enrollment ID: I20220418002320

Medical Identifiers

Medical identifiers for Taj Gubatanga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629747282NPI-NPPES
1229OtherBIRTHDATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209024958 (Illinois)Primary
163W00000XRegistered Nurse 28206360A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loyola University Medical CenterMaywood, ILHospital
Elmhurst Memorial HospitalElmhurst, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Loyola University Medical Center3779488903857
Elmhurst Anesthesiologists, Pc771987936044

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taj Gubatanga allows following entities to bill medicare on her behalf.
Entity NameLoyola University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336159961
PECOS PAC ID: 3779488903
Enrollment ID: O20031202000027
Entity NameElmhurst Anesthesiologists, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376586610
PECOS PAC ID: 7719879360
Enrollment ID: O20040327000253

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taj Gubatanga is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Taj Gubatanga, CRNA
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-9000		Taj Gubatanga, CRNA
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (312) 774-6297

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Maywood, IL

Joseph Marinaro, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-8785    
Mark Byram,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Laura Hartman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 847-347-9847    
Joshua Mitchell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-3619    
Joy Malenie Chaksupa, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-5856    
Sara A Park, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Luis Enrique Negron, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 888-584-7888    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.