MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) – Certified Registered Nurse Anesthetist, NPI 1184857500

MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) is a healthcare provider. based in Aurora, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA, MS. They hold a License No. 209007761 (IL). The NPI Number for MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) is 1184857500

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEGUN SADIQUE SHONIBARE (CRNA, MS)
NPI
1184857500
Phone
(630) 859-2222
Address
1325 N HIGHLAND AVE
Enumeration Date
2 September 2009
Last Update Date
2 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308592222
Graduation Year
2009 (17 years ago)
PAC ID
8921146440
Group Practice PAC ID
2961303425
Professional Enrollment ID
I20091103000477
Address ID
IL605061449AU1325XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for MR. SEGUN SADIQUE SHONIBARE (CRNA, MS)

  • Presence Mercy Medical Center, 1325, North Highland Avenue, Aurora, Kane County, Illinois, 60506, United States

    ANESTHESIA DEPT

    AURORA, IL 605061449

    Phone: (630) 859-2222

    Type: Location

  • 400, East 33rd Street, Lake Meadows, Douglas, Chicago, South Chicago Township, Cook County, Illinois, 60616, United States

    APT# 2005

    CHICAGO, IL 606164055

    Phone: (773) 263-4812

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($100).

Total Amount

$137

General + Research + Ownership

Payments

5

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2009-11-03

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
I20091103000477ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope7878$0
00813Anesthesia for procedure on small and large bowel using an endoscope6868$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2827$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 60506)

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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: 2961303425View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
Anesthesiology, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
-IL

Reviews

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Frequently asked questions

Is there an official ID for MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) in U.S. healthcare records?
The official identifier for MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) is NPI 1184857500.
Is MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) still an active registrant?
MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) carries an active NPI according to the public dataset.
What expertise is attributed to MR. SEGUN SADIQUE SHONIBARE (CRNA, MS)?
MR. SEGUN SADIQUE SHONIBARE (CRNA, MS)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) associated with Aurora?
Public fields place MR. SEGUN SADIQUE SHONIBARE (CRNA, MS) around Aurora, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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