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Deactivated NPI 1235118894 Deactivated / Inactive NPI Male Practitioner

Dr. Andre S Granzotti , MD

Anesthesiology • Decatur, 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. Andre Granzotti has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2006
NPI Deactivation Date August 27, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Andre Granzotti, MD was a registered Anesthesiology practicing in Decatur, IL. Throughout an active medical career spanning 14 years, Dr. Granzotti provided care at the practice location at 2300 N EDWARD ST until profile deactivation on 2020-08-27.

Historical Medicare Part B clinical services included anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand, ultrasonic guidance imaging supervision and interpretation for insertion of needle, anesthesia for lens surgery. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2300 N Edward St

Decatur, IL 625264163

Telephone 2178768121
Associated Practice Facility / Clinic
🏢 Decatur Memorial Hospital Facility NPI 1609879097

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Decatur, IL (2670 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
94.6% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
26 26 $1485.19 $75.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
25 25 $320.00 $31.16
00142 Anesthesia for lens surgery
22 22 $1409.09 $74.72
00811 Anesthesia for procedure on large bowel using an endoscope
19 19 $1314.47 $70.18
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
18 18 $1299.44 $73.93
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
14 14 $3160.36 $166.25
00400 Anesthesia for procedure on skin of arms, legs, or trunk
13 13 $1469.62 $74.89
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back
11 11 $2185.45 $114.89

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jason Grauer , APRN

Nurse Practitioner - Family

NPI 1003463225

Advanced Practice Registered Nurse

NPI 1023096401

Doctor of Medicine (M.D.)

Lindsay Beery , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033366893

Certified Registered Nurse Anesthetist

Dr. Elvis Mensah , MD

Family Medicine

NPI 1063146173

Doctor of Medicine (M.D.)

Hayley Long

Occupational Therapy Assistant

NPI 1083392856
NPI 1083612873

Doctor of Medicine (M.D.)

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 August 27, 2020

Record deactivated on August 27, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2300 N EDWARD ST, DECATUR, IL 625264163 (Tel: 2178768121)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 25137, DECATUR, IL 625255137 (Tel: 8008976169)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANDRE GRANZOTTI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology

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Initial NPI Registration & Enumeration January 12, 2006

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: 1235118894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: July 08, 2007
Deactivation Date: August 27, 2020

Mailing Address

Po Box 25137

Decatur, IL 625255137

Phone: 8008976169

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.