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

Active since July 16, 2013Accepts 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: July 19, 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 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, and ordering and referring status from the CMS PECOS system.

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

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 19

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

Psychologist (Clinical Child & Adolescent)
1 KISH HOSPITAL DR
DEKALB, IL 60115
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115
Pharmacist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Pharmacist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Dietitian, Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115
Dietitian, Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115
Psychiatry & Neurology (Neurology)
1 KISH HOSPITAL DR
DEKALB, IL 60115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144661380, enumerated as an "individual" on July 16, 2013.

The provider is located at 1 KISH HOSPITAL DR DEKALB, IL 60115 and the phone number is (815) 936-4029.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Oscar Health Plan of North Carolina, Inc. Please consult your insurance carrier or call the provider to verify.

Sothida Berry is affiliated with: ATRIUM HEALTH PINEVILLE.