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THEODORE M WYNNYCHENKO M.D.
NPI 1780620864
Anesthesiology in Evanston, IL

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
2650 RIDGE AVE, DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201(847) 570-2760(847) 570-2921 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2021, Oct 22, 2019, Oct 11, 2018 (3 updates tracked since 2018).

About Theodore M Wynnychenko M.d. NPPES

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

THEODORE M WYNNYCHENKO M.D. (NPI 1780620864) is an individual anesthesiology provider in Evanston, Illinois, licensed in Illinois (036100119) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Shepherd Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1993).

NPPES Registry Identity

NPI1780620864
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTHEODORE M WYNNYCHENKOCredential: M.D.
Location Address2650 RIDGE AVE, DEPARTMENT OF ANESTHESIAEvanston, IL 60201
Mailing Address450 W Il Route 22 Dept OfBarrington, IL 60010-1919 · (847) 381-0123
Phone(847) 570-2760
Fax(847) 570-2921
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1993
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1780620864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IL · 036100119
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.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 036100119 (IL)
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License 036100119 (IL)
2650 RIDGE AVE, Evanston, IL 60201
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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

Theodore M Wynnychenko M.d. 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 ID1658304365
PECOS Enrollment IDI20050914000047
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
49 services47 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
30 services30 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
23 services23 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
18 services18 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
16 services16 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

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.

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
DR. SADIE ANNE LAPONSIE M.D.
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-2000
ANNE PEIFFER MD
Obstetrics & Gynecology
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-3624

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 Theodore Wynnychenko's NPI number?

The NPI number for Theodore Wynnychenko is 1780620864. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Theodore Wynnychenko located?

Theodore Wynnychenko practices at 2650 Ridge Ave Department Of Anesthesia, Evanston, IL 60201. The listed phone number is (847) 570-2760.

What is Theodore Wynnychenko's specialty?

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

Is Theodore Wynnychenko enrolled in Medicare?

Yes. Theodore Wynnychenko 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.

Is Theodore Wynnychenko affiliated with any hospitals?

According to CMS data, Theodore Wynnychenko is affiliated with Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Wynnychenko was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.