IAN KOLATA – Anesthesiology Physician, NPI 1023674801

IAN KOLATA is a healthcare provider. based in Chicago, Illinois. specializing in ANESTHESIOLOGY. They hold a License No. 036169105 (IL). The NPI Number for IAN KOLATA is 1023674801

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
IAN KOLATA
NPI
1023674801
Phone
Not provided
Address
600 S PAULINA ST STE 403
Enumeration Date
16 May 2019
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
7083332300
Graduation Year
2021 (5 years ago)
PAC ID
5698179786
Group Practice PAC ID
4688635337
Professional Enrollment ID
I20250901000609
Address ID
IL604263558HA1XXXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for IAN KOLATA

  • South Paulina Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60608, United States

    CHICAGO, IL 606123806

    Phone:

    Type: Mailing

  • 1 Ingalls Dr

    Harvey, IL 604263558

    Phone: (888) 824-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($45).

Total Amount

$91

General + Research + Ownership

Payments

3

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250901000609IAnesthesiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688635337View full group profile
NameSpecialtyState
Family PracticeIL
Certified Registered Nurse Anesthetist (Crna)IL
P S Y C H I A T R YIL
Internal MedicineIL
Hematology/Oncology, Internal MedicineIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL

Reviews

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Frequently asked questions

What is the standard ID for IAN KOLATA in the U.S.?
In the U.S., IAN KOLATA is identified by NPI 1023674801.
Is IAN KOLATA currently accepting referrals based on NPI status?
Registry metadata lists IAN KOLATA as active.
Which specialty label fits IAN KOLATA?
NPPES ties IAN KOLATA to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to IAN KOLATA?
IAN KOLATA shows a connection to Chicago, Illinois in registry-derived data.
Who maintains IAN KOLATA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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