DIANA SHRADER (MD) – Anesthesiology Physician, NPI 1003922121

DIANA SHRADER (MD) is a healthcare provider. based in Munster, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01052602A (IN). The NPI Number for DIANA SHRADER (MD) is 1003922121

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DIANA SHRADER (MD)
NPI
1003922121
Phone
(219) 836-7040
Address
901 MACARTHUR BOULEVARD
Enumeration Date
22 August 2006
Last Update Date
23 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2197031443
Graduation Year
1990 (36 years ago)
PAC ID
4880888718
Group Practice PAC ID
4183087257
Professional Enrollment ID
I20101104000289
Address ID
IN463212901MU901XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,446 ANESTHESIOLOGY in IN

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Provider Addresses for DIANA SHRADER (MD)

  • Community Hospital, 901, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States

    ANESTHESIA DEPARTMENT

    MUNSTER, IN 463212901

    Phone: (219) 836-7040

    Fax: (219) 513-1127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-04

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
I20101104000289IAnesthesiologyINTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3737$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3535$0
00813Anesthesia for procedure on small and large bowel using an endoscope2323$0
00142Anesthesia for lens surgery1616$0
00812Anesthesia for exam of colon using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 46321)

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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: 4183087257View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
Anesthesiology, Pain ManagementIN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How is DIANA SHRADER (MD) identified in CMS data?
CMS-hosted NPPES data lists DIANA SHRADER (MD) with NPI 1003922121.
Does the file indicate DIANA SHRADER (MD) is practicing under active NPI?
Directory data currently reports DIANA SHRADER (MD) as active.
What is DIANA SHRADER (MD)'s specialty?
The listing groups DIANA SHRADER (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DIANA SHRADER (MD)?
DIANA SHRADER (MD)'s geographic hint is Munster, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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