DIVERSIFIED MEDICAL SERVICES LLC
NPI 1780962506
Anesthesiology in Fairview Heights, IL

Q: What is Diversified Medical Services LLC's NPI number?

The NPI number for Diversified Medical Services LLC is 1780962506. It was assigned to this organization in the NPPES registry on July 27, 2011.

Q: What is Diversified Medical Services LLC's specialty?

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

Active since July 27, 2011

5023 N ILLINOIS ST, STE 1, FAIRVIEW HEIGHTS, IL 62208(618) 239-0678(800) 516-2392 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Diversified Medical Services Llc NPPES

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

DIVERSIFIED MEDICAL SERVICES LLC (NPI 1780962506) is a healthcare organization registered as an anesthesiology in Fairview Heights, Illinois and active in the NPI registry since July 2011. The organization lists Shakeel Ahmed, President, as its authorized official.

NPPES Registry Identity

NPI1780962506

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameDIVERSIFIED MEDICAL SERVICES LLC

Location Address5023 N ILLINOIS ST, STE 1Fairview Heights, IL 62208-3453

Mailing Address5023 N Illinois St, Ste 1Fairview Heights, IL 62208-3453 · (618) 239-0678 · Fax (800) 516-2392

Phone(618) 239-0678

Fax(800) 516-2392

Organization SubpartNo

Authorized OfficialShakeel AhmedPresident · (618) 239-0678

Enumeration DateJuly 27, 2011

Last NPPES UpdateSeptember 12, 2011

✔ NPI 1780962506 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.

5023 N ILLINOIS ST, Fairview Heights, IL 62208

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diversified Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 20 clinicians reassign Medicare billing to Diversified Medical Services 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

Certified Registered Nurse Anesthetist (CRNA)17

Anesthesiology3

Clinicians, nearest first (20)

Sandra Hayden, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1629088174

4500 MEMORIAL DR
Belleville, IL 62226

(618) 257-5162

✔ PECOS✔ Accepts Medicare2.7 mi

Jennifer Cripps, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1104177724

1 SAINT ELIZABETH BLVD
O Fallon, IL 62269

(618) 234-2120

✔ PECOS✔ Accepts Medicare4.9 mi

Malgorzata Borchardt, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1679584981

1 BARNES JEWISH HOSPITAL PLZ DEPT ANESTHESIOLOGY
Saint Louis, MO 63110

(800) 862-9980

✔ PECOS✔ Accepts Medicare16 mi

Sara Franco, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1982831152

1 BARNES JEWISH HOSPITAL PLZ DEPT ANESTHESIOLOGY
Saint Louis, MO 63110

(800) 862-9980

✔ PECOS16 mi

Gilbert Jones, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1750559258

1 BARNES JEWISH HOSPITAL PLZ DEPT ANESTHESIOLOGY
Saint Louis, MO 63110

(800) 862-9980

✔ PECOS✔ Accepts Medicare16 mi

Rosemary Muhoro, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1811309065

1 BARNES JEWISH HOSPITAL PLZ DEPT ANESTHESIOLOGY
Saint Louis, MO 63110

(800) 862-9980

✔ PECOS✔ Accepts Medicare16 mi

Witoon Ruamwijitphong, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1063742633

1 BARNES JEWISH HOSPITAL PLZ DEPT ANESTHESIOLOGY
Saint Louis, MO 63110

(800) 862-9980

✔ PECOS✔ Accepts Medicare16 mi

Todd Riley, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1083632541

1 BARNES JEWISH HOSPITAL PLZ
Saint Louis, MO 63110

(314) 362-6973

✔ PECOS✔ Accepts Medicare16 mi

Lisa Rybak, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1114906955

6420 CLAYTON RD
Saint Louis, MO 63117

(314) 768-8442

✔ PECOS18 mi

Lisa Bell, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1215923768

PO BOX 616
Edwardsville, IL 62025

(833) 749-8324

✔ PECOS✔ Accepts Medicare19 mi

Mark Belcher, MD

Anesthesiology

NPI 1528088523

4116 VON TALGE RD SUITE B
Saint Louis, MO 63128

(314) 892-8787

✔ PECOS20 mi

Samuel Figueroa, M.D.

Anesthesiology

NPI 1568494938

1 SAINT ANTHONYS WAY
Alton, IL 62002

(618) 465-4523

✔ PECOS25 mi

Nancy Ganschinietz, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1992753446

12634 OLIVE BLVD DEPT ANESTHESIOLOGY
Saint Louis, MO 63141

(800) 862-9980

✔ PECOS✔ Accepts Medicare27 mi

Felister Mwangi, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1609219922

1104 PIERPOINT LN
Saint Charles, MO 63303

(314) 698-1324

✔ PECOS✔ Accepts Medicare31 mi

Lisa Sletten, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1912070087

800 E CARPENTER ST
Springfield, IL 62769

(217) 544-6464

✔ PECOS✔ Accepts Medicare87 mi

Douglas Mcdonald, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1467462671

1500 N RITTER AVE
Indianapolis, IN 46219

(317) 355-5539

✔ PECOS✔ Accepts Medicare226 mi

Esther Forte, DNP, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1821724295

3535 SOUTHERN BLVD
Kettering, OH 45429

(937) 298-4331

✔ PECOS321 mi

James Eads, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1659434710

7 INDEPENDENCE PT STE 300
Greenville, SC 29615

(864) 522-3700

✔ PECOS498 mi

John Morrison, M.D.

Anesthesiology

NPI 1073710760

909 SQUALICUM WAY STE 102
Bellingham, WA 98225

(360) 647-3377

✔ PECOS✔ Accepts Medicare1,758 mi

Alicia Ferguson, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1043606668

611 CLIPPER SHIP CT
Anchorage, AK 99515

(907) 306-1274

✔ PECOS✔ Accepts Medicare2,954 mi

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 Diversified Medical Services LLC's NPI number?

The NPI number for Diversified Medical Services LLC is 1780962506. It was assigned to this organization in the NPPES registry on July 27, 2011.

Where is Diversified Medical Services LLC located?

Diversified Medical Services LLC is located at 5023 N Illinois St Ste 1, Fairview Heights, IL 62208. The listed phone number is (618) 239-0678.

What is Diversified Medical Services LLC's specialty?

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

Is Diversified Medical Services LLC enrolled in Medicare?

Yes. Diversified Medical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diversified Medical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Diversified Medical Services 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) (17) and Anesthesiology (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diversified Medical Services LLC was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.