Roni Aizigov, CRNA, NP-C - Medicare Certified Registered Nurse Anesthetist (crna) in Granger, IN

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Roni Aizigov, CRNA, NP-C is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Granger, Indiana. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Saint Joseph Regional Medical Center-south Bend Campus Inc and his current practice location is 51050 Bittersweet Rd Ste B, Granger, Indiana. You can reach out to his office (for appointments etc.) via phone at (718) 208-0446.

Roni Aizigov is licensed to practice in Indiana (license number 28206614A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174876577.

Contact Information

Roni Aizigov, CRNA, NP-C
51050 Bittersweet Rd Ste B,
Granger, IN 46530-7879
(718) 208-0446
(574) 244-0240

Map and Direction




Provider's Profile

Full NameRoni Aizigov
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location51050 Bittersweet Rd Ste B, Granger, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roni Aizigov graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1174876577
  • Provider Enumeration Date: 10/23/2012
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658517834
  • Enrollment ID: I20130412000298

Medical Identifiers

Medical identifiers for Roni Aizigov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174876577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71011097A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 28206614A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Joseph Regional Medical Center-south Bend Campus Inc347645179069

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Roni Aizigov allows following entities to bill medicare on his behalf.
Entity NameGreat Lakes Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039977
PECOS PAC ID: 0648183442
Enrollment ID: O20031107000452
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023844693
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameThe South Bend Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439
Entity NameLa Porte County Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477553634
PECOS PAC ID: 4688633241
Enrollment ID: O20041008000231
Entity NameSoutheast Anesthesiologists, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210685
PECOS PAC ID: 6800837980
Enrollment ID: O20050518001265
Entity NameSpine & Orthopedic Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427284983
PECOS PAC ID: 7810042926
Enrollment ID: O20090825000621
Entity NameCardinal Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134570153
PECOS PAC ID: 2668766254
Enrollment ID: O20160804000791
Entity NameSda Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336605500
PECOS PAC ID: 3870825912
Enrollment ID: O20210819003335
Entity NameJebs Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790447761
PECOS PAC ID: 4486046646
Enrollment ID: O20220120000233

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roni Aizigov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roni Aizigov, CRNA, NP-C
50653 Hollybrook Dr,
Granger, IN 46530-4947

Ph: (718) 208-0446		Roni Aizigov, CRNA, NP-C
51050 Bittersweet Rd Ste B,
Granger, IN 46530-7879

Ph: (718) 208-0446

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Granger, IN

Emily Ratkiewicz,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5507 Singer Ct, Granger, IN 46530
Phone: 708-218-0446    
Steven Thomas Matthiesen,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 50820 Summit Hill Ct, Shadowfax Anesthesia, Granger, IN 46530
Phone: 312-415-1137    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.