Ias Illinois PC
NPI 1265118723ActiveOrganization· Anesthesiology· Geneva, IL
Anesthesiology in Geneva, Illinois, registered in NPPES in June 2023. The authorized official on file is Jesse Breedlove, CRNA, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1265118723 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2023 |
| Last updated in NPPES | Sep 16, 2026 |
| Certified by provider | Sep 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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