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Deactivated NPI 1104390301 Deactivated / Inactive NPI Male Practitioner

Dr. Adriel Geoff Cansino , DNP, CRNA

Registered Nurse • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Adriel Cansino has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2019
NPI Deactivation Date February 10, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Adriel Cansino, DNP, CRNA was a registered Registered Nurse practicing in Chicago, IL. Throughout an active medical career spanning 3 years, Dr. Cansino provided care at the practice location at 2233 W DIVISION ST until profile deactivation on 2022-02-10.

Historical Medicare Part B clinical services included anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for exam of colon using an endoscope, anesthesia for procedure on large bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2233 W Division St

Chicago, IL 606228151

Telephone 3127702000
Associated Practice Facility / Clinic
🏢 Maruti Bhorade, M.d. Facility NPI 1801895263

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
577 Specialists

Practicing in Chicago, IL (2714 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
28 27 $2381.00 $165.64
00812 Anesthesia for exam of colon using an endoscope
17 17 $1984.71 $118.86
00811 Anesthesia for procedure on large bowel using an endoscope
17 17 $2068.82 $143.12
00142 Anesthesia for lens surgery
12 12 $2315.92 $166.66

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License IL 041429004

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tomasz Lis , MD

Family Medicine

NPI 1003122151

Doctor of Medicine (M.D.)

Melfa Laroza

Physical Therapist

NPI 1003163890
Christina Volkening , MSN, CNM

Advanced Practice Midwife

NPI 1033569264

Master of Science in Nursing, Certified Nurse Midwife

Marie Malazarte

Physical Therapist

NPI 1043566904
Athira Saji

Podiatrist

NPI 1053237768
Christina Sykes-Stanfield , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053290007

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 10, 2022

Record deactivated on February 10, 2022

NPI Profile Active February 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2019

Registered at 2233 W DIVISION ST, CHICAGO, IL 606228151 (Tel: 3127702000)

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Updated Business Mailing Address February 07, 2019

Registered at 2756 N PINE GROVE AVE APT 403, CHICAGO, IL 606146165 (Tel: 6462502131)

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Provider Name / Credentials Updated February 07, 2019

Recorded as ADRIEL CANSINO, DNP, CRNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2019

Registered Nurse (License #041429004 in IL)

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Initial NPI Registration & Enumeration January 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104390301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2019
Last Update: February 07, 2019
Deactivation Date: February 10, 2022

Mailing Address

2756 N Pine Grove Ave Apt 403

Chicago, IL 606146165

Phone: 6462502131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.