DAVID CHANG ENGBLADE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700821204
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for DAVID CHANG ENGBLADE (CRNA)
5841 S Maryland Ave
Chicago, IL 606371443
Phone: (888) 824-0200
Type: Location
1775 Dempster St
Park Ridge, IL 600681143
Phone: (847) 723-2210
Fax: (847) 723-3532
Type: Location
5145 N California Ave
Chicago, IL 606253661
Phone: (773) 293-5486
Fax: (773) 989-1639
Type: Location
19624, Governors Highway, Sunny Crest, Flossmoor, Rich Township, Cook County, Illinois, 60422, United States
FLOSSMOOR, IL 604222077
Phone:
Type: Mailing
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 $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($57).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $57 |
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: 2004-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040330000015 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 36 | 36 | $0 |
| 01940 | Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 20 | 20 | $0 |
| 01938 | Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 19 | 18 | $0 |
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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