Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad Riddle, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1023100831

Chad Riddle, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2005, 21 years ago. Practices with Northstar Anesthesia of Indiana LLC, a 129-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
21
Licensed in
IN, KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4034 Saint Ives Ct
Louisville, KY 40207-3814
Phone: (502) 640-8349
Fax: (502) 749-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28279632A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1092142 (KY)

Record details

NPI number1023100831
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northstar Anesthesia Of Indiana Llc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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