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

Taj Gubatanga, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1629747282

Taj Gubatanga, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Maywood, Illinois. Qualified in 2021, 5 years ago. Practices with Midwest Anesthesia Partners LLC, a 117-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
5
Licensed in
IL, IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (312) 774-6297
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209024958 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 28206360A (IN)

Record details

NPI number1629747282
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 8, 2021
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Midwest Anesthesia Partners Llc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maywood