Northstar Anesthesia of Indiana II, LLC
NPI 1629475421ActiveOrganization· Anesthesiology· Irving, TX
Anesthesiology in Irving, Texas, registered in NPPES in November 2014. The authorized official on file is Rebecca Petross, Revenue Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629475421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2014 |
| Last updated in NPPES | May 25, 2021 |
| Certified by provider | May 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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