ILYA REIKHRUD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144208034

ILYA REIKHRUD (CRNA) is a healthcare provider. based in Woonsocket, Rhode Island. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RNA00018G (RI). The NPI Number for ILYA REIKHRUD (CRNA) is 1144208034

Main info

Male
21 Years Of Experience
Name
ILYA REIKHRUD (CRNA)
NPI
1144208034
Phone
(850) 985-9180
Address
115 Cass Ave
Enumeration Date
3 January 2006
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083635000
Graduation Year
2005 (21 years ago)
PAC ID
0345255782
Group Practice PAC ID
4082770136
Professional Enrollment ID
I20070123000397
Address ID
MA016081216WO123XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

201 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in RI

Provider Addresses for ILYA REIKHRUD (CRNA)

  • 115 Cass Ave

    Woonsocket, RI 028954705

    Phone: (850) 985-9180

    Fax: (765) 588-1485

    Type: Location

  • Virginia Avenue, Providence, Providence County, Rhode Island, 02905, United States

    SUITE 201

    PROVIDENCE, RI 02905

    Phone: (401) 490-0916

    Fax: (401) 490-0979

    Type: Mailing

  • Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    DAVOL 129

    PROVIDENCE, RI 029034923

    Phone: (401) 444-4933

    Fax: (401) 444-5090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2007-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060207000450ICertified Registered Nurse Anesthetist (Crna)RITBD
I20070123000397ICertified Registered Nurse Anesthetist (Crna)MATBD

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 02895)

Loading plans...

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: 4082770136View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)RI
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YRI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for ILYA REIKHRUD (CRNA)?
ILYA REIKHRUD (CRNA) — NPI 1144208034 — is the standard way to identify this listing.
Does CMS list ILYA REIKHRUD (CRNA) as active?
Yes — ILYA REIKHRUD (CRNA) is active in the NPI listing used on this page.
What is ILYA REIKHRUD (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for ILYA REIKHRUD (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for ILYA REIKHRUD (CRNA)?
ILYA REIKHRUD (CRNA)'s geographic hint is Woonsocket, Rhode Island 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.

Similar Providers

BRIAN L. MILLER (CRNA)

Certified Registered Nurse Anesthetist
200 High Service Ave
NPI: 1609854454

GLENN L TANZMAN (CRNA)

Certified Registered Nurse Anesthetist
101 Dudley St
NPI: 1053369173

LISA JENNIFER BLAIR (CRNA)

Certified Registered Nurse Anesthetist
11116 Medical Campus Rd
NPI: 1316991433

JOSEPH TONG (CRNA)

Certified Registered Nurse Anesthetist
115 Cass Ave
NPI: 1740237106

CLINICAL COLLEAGUES INC

Anesthesiology Physician
115 Cass Ave
NPI: 1992725766

NORTHERN RHODE ISLAND ANESTHESIA ASSOCIATES, PC

Certified Registered Nurse Anesthetist
Landmark Medical Center, 115, Cass Avenue, Hamlet, Woonsocket, Providence County, Rhode Island, 02895, United States
NPI: 1124048905

MS. PAULINE RITA HARRIS (CRNA)

Certified Registered Nurse Anesthetist
113, Water Street, Hopedale, Worcester County, Massachusetts, 01747, United States
NPI: 1104848548
308, Resler Ridge Drive, Resler Ridge, El Paso, El Paso County, Texas, 79912, United States
NPI: 1508972852

MR. DAVID C. ANDERSON (CRNA)

Certified Registered Nurse Anesthetist
16, Southbury Road, Cumberland, Providence County, Rhode Island, 02864, United States
NPI: 1851407746