SOTHIDA BERRY CRNA
NPI 1144661380
Nurse Anesthetist, Certified Registered in Dekalb, IL

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
1 KISH HOSPITAL DR, DEKALB, IL 60115(815) 936-4029(815) 936-4032 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sothida Berry Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOTHIDA BERRY CRNA (NPI 1144661380) is an individual nurse anesthetist, certified registered in Dekalb, Illinois, licensed in Illinois (93131) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1144661380
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSOTHIDA BERRYCredential: CRNA
Location Address1 KISH HOSPITAL DRDekalb, IL 60115-9602
Mailing Address1135 S Delano Ct E, Apt 427Chicago, IL 60605-3457 · (219) 669-9505
Fax(815) 936-4032
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 16, 2013
✔ NPI 1144661380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 93131
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1 KISH HOSPITAL DR, Dekalb, IL 60115

Other Names 1

Former Name (1)Sothida Surachaicharn Rn

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sothida Berry Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123247194
PECOS Enrollment IDI20220930001976
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

17

Medicare enrollment records show Sothida Berry reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
1 KISH HOSPITAL DR
Dekalb, IL 60115
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
Anesthesiology
10350 HALIGUS RD
Huntley, IL 60142
  • Reassigned Medicare billing, Illinois enrollment
  • 70 clinicians in this Medicare group
Anesthesiology
3701 DOTY RD
Woodstock, IL 60098
  • Reassigned Medicare billing, Illinois enrollment
  • 87 clinicians in this Medicare group
Family Medicine
865 W LAKE DR
Mount Airy, NC 27030
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Hematology & Oncology
276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 686 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7210 VILLAGE MEDICAL CIRCEL, STE 235
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group
Internal Medicine
7144 VILLAGE MEDICAL CIR
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
  • 719 clinicians in this Medicare group
Specialist
1950 S HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 579 clinicians in this Medicare group
Hematology & Oncology
170 MEDICAL PARK RD STE 101
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1730 KERNERSVILLE MEDICAL PKWY, STE 304
Kernersville, NC 27284
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1 KISH HOSPITAL DR
DEKALB, IL 60115
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115
Hospitalist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Nurse Practitioner
1 KISH HOSPITAL DR
DEKALB, IL 60115
Speech-Language Pathologist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Emergency Medicine
1 KISH HOSPITAL DR
DEKALB, IL 60115
Hospitalist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Dietitian, Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sothida Berry's NPI number?

The NPI number for Sothida Berry is 1144661380. It was assigned to this individual provider in the NPPES registry on July 16, 2013. The provider is also known as Sothida Surachaicharn Rn.

Where is Sothida Berry located?

Sothida Berry practices at 1 Kish Hospital Dr, Dekalb, IL 60115. The listed phone number is (815) 936-4029.

What is Sothida Berry's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sothida Berry enrolled in Medicare?

Yes. Sothida Berry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sothida Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sothida Berry reassigns Medicare benefits to 17 organizations: Valley Pain Care Centers Ltd (Dekalb, IL), Huntley Anesthesia Associates LLC (Huntley, IL), Town Square Anesthesia LLC (Woodstock, IL), Forsyth Memorial Hospital, Inc (Mount Airy, NC), Novant Health Rowan Medical Center, LLC (Statesville, NC) and 12 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sothida Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sothida Berry accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Sothida Berry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sothida Berry affiliated with any hospitals?

According to CMS data, Sothida Berry is affiliated with Atrium Health Pineville.

When was this NPI record last updated?

The NPPES record for Sothida Berry was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.