OrganizationActive
Pediatric Anesthesia Associates, Ltd
NPI 1891721775 · Anesthesiology Physician · Chicago, IL
Provider details
- NPI number
- 1891721775
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Roth, Authorized Representative(773) 880-4415
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 Childrens Place
Chicago, IL 60614
Phone: (773) 880-4415
Approximate (ZIP-level) locationGet directions
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2007-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.