POLYKARPOS ANESTHESIA LLC
NPI 1154850972
Anesthesiology in Pleasant Prairie, WI
About Polykarpos Anesthesia Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POLYKARPOS ANESTHESIA LLC (NPI 1154850972) is a healthcare organization registered as an anesthesiology in Pleasant Prairie, Wisconsin and active in the NPI registry since June 2017. The organization lists Aristeidie Diveris, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Polykarpos Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Polykarpos Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (16)
San Diego, CA 92134
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 Polykarpos Anesthesia LLC's NPI number?
The NPI number for Polykarpos Anesthesia LLC is 1154850972. It was assigned to this organization in the NPPES registry on June 6, 2017.
Where is Polykarpos Anesthesia LLC located?
Polykarpos Anesthesia LLC is located at 8400 Lakeview Pkwy Ste 800, Pleasant Prairie, WI 53158. The listed phone number is (705) 275-7799.
What is Polykarpos Anesthesia LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Polykarpos Anesthesia LLC enrolled in Medicare?
Yes. Polykarpos Anesthesia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Polykarpos Anesthesia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Polykarpos 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) (14) and Anesthesiology (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Polykarpos Anesthesia LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Polykarpos 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 Polykarpos Anesthesia LLC was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Polykarpos Anesthesia Llc · NPI 1154850972
Anesthesiology organization in Pleasant Prairie, Wisconsin. Organization record, active in the CMS NPPES registry since June 6, 2017.
## Identity
- **NPI:** 1154850972 (Entity type: Organization)
- **Enumerated:** June 6, 2017
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Aristeidie Diveris, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 8400 LAKEVIEW PKWY STE 800, Pleasant Prairie, WI 53158-5819
- **Phone:** (705) 275-7799
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (14), Anesthesiology (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1154850972) · Data from the CMS NPPES public registry.