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

Obinna Charles Iluba, CRNA

Individual provider Registered Nurse · NPI 1194456400

Obinna Charles Iluba, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Dyer, Indiana. Qualified in 2017, 9 years ago. Practices with North Atlanta Anesthesia Professionals, LLC, a 543-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Indiana.

Years since qualifying
9
Licensed in
GA, IN
In the registry since
2022
Specialties on file
3
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

24 Joliet St
Dyer, IN 46311-1705
Phone: (917) 922-9498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (678) 312-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 139085 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28228006A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN328399 (GA)

Record details

NPI number1194456400
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 19, 2022
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Atlanta Anesthesia Professionals, Llc — 543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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