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SURGERY ONE ANESTHESIA, LLC
NPI 1144724402
Anesthesiology in Fort Wayne, IN

Active since March 21, 2018
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 482-5060 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2025, Mar 21, 2018 (2 updates tracked since 2018).

About Surgery One Anesthesia, Llc NPPES

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

SURGERY ONE ANESTHESIA, LLC (NPI 1144724402) is a healthcare organization registered as an anesthesiology in Fort Wayne, Indiana and active in the NPI registry since March 2018. The organization maintains 2 additional practice locations and lists Barbara Janice Hathaway, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1144724402
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSURGERY ONE ANESTHESIA, LLC
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address5052 N Clinton StFort Wayne, IN 46825-5822 · (260) 484-8551 · Fax (260) 408-8014
Phone(260) 484-8551
Fax(260) 482-5060
Organization SubpartNo
Authorized OfficialBarbara Janice HathawayCredentialing Officer · (260) 408-2203
Enumeration DateMarch 21, 2018
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1144724402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5050 N CLINTON ST, Fort Wayne, IN 46825
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Secondary Practice Locations 2

Location 111420 Parkview Circle DrFort Wayne, IN 46845-1729 · Phone (260) 482-5194
Location 211130 Parkview Circle DrFort Wayne, IN 46845-1735 · Phone (260) 672-5000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgery One Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Surgery One Anesthesia, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 30 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)29
Anesthesiology10
Anesthesiology Assistant1

Nearest to this location (20)

See all 40
Kaitlyn Crawford, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205549870
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts MedicareSame address
Megan Hartzell, MD
Anesthesiology
NPI 1972513521
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts MedicareSame address
Dauda Jimoh
Certified Registered Nurse Anesthetist (CRNA)
NPI 1245165059
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
Same address
Gisella Puga, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417285032
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts MedicareSame address
Janet Schafer, MD
Anesthesiology
NPI 1871740803
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts MedicareSame address
Dale Anderson
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750779591
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare0.2 mi
Lorinda Browning, MD
Anesthesiology
NPI 1902804750
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
Sandra Bultemeier, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811352214
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare0.2 mi
Scott Davis, M.D.
Anesthesiology
NPI 1144228529
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
Douglas Dohl, M.D.
Anesthesiology
NPI 1285832477
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
Anthony Dzigbordi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003517954
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare0.2 mi
Jessica Filutze, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699036152
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare0.2 mi
Danielle Hoskins
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083286207
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
William Howard, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881939072
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare0.2 mi
Richard Johnston, MD
Anesthesiology
NPI 1912906595
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
Tyler Keena, M.D.
Anesthesiology
NPI 1588002869
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
Sarah Lasalle, D.O.
Anesthesiology
NPI 1023399128
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
Aaron Lewis, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629560370
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare0.2 mi
Gregory Louck, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730413220
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare0.2 mi
Patrick Muehr, M.D.
Anesthesiology
NPI 1336534452
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare0.2 mi
See all 40 clinicians

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

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 Surgery One Anesthesia, LLC's NPI number?

The NPI number for Surgery One Anesthesia, LLC is 1144724402. It was assigned to this organization in the NPPES registry on March 21, 2018.

Where is Surgery One Anesthesia, LLC located?

Surgery One Anesthesia, LLC is located at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is Surgery One Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Surgery One Anesthesia, LLC enrolled in Medicare?

Yes. Surgery One Anesthesia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgery One Anesthesia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 3 Medicare specialties reassign their Medicare billing to Surgery One Anesthesia, LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (29), Anesthesiology (10) and Anesthesiology Assistant (1). Of these, 5 practice at this address and 30 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Surgery One Anesthesia, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Surgery One Anesthesia, LLC 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.

When was this NPI record last updated?

The NPPES record for Surgery One Anesthesia, LLC was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.