Individual provider Active NPI

Ban Batu, CRNA

  • Certified Registered Nurse Anesthetist
  • Dearborn, MI
National Provider Identifier
1003882077
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704212005 Issued in MI
Practice address
18100 Oakwood Blvd Ste 100
Dearborn, MI 48124-4085
Phone
(313) 253-2030
NPI assigned
Feb 28, 2006
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704212005 MI Primary

Addresses

Primary practice location

18100 Oakwood Blvd Ste 100
Dearborn, MI 48124-4085

Mailing address

3047 Sumerlyn CT
Auburn Hills, MI 48326-1799
Phone (586) 718-3030

Other identifiers 2

IdentifierTypeStateIssuer
430F364420OtherMIBCBSM
4654085MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041202000651 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113983024 Reassigns benefits to 10 organizations
I20180911002999 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113983024 Reassigns benefits to 1 organization
I20200826001209 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113983024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Medical Directors Consultants PLCGroup PAC ID 9739697822, 17 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Phone (248) 220-7505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704212005MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Northwestern Services, LLC CurrentSince Oct 1, 2018 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Medical Directors Consultants PLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Southfield Rehabilitation Company CurrentSince Apr 12, 2017 Accepting new patients
Eastern District Anesthesiology PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Motor City Anesthesia Services PLLC CurrentSince May 14, 2024 Accepting new patients
Baycare Medical Group, Inc CurrentSince Dec 24, 2024 Accepting new patients
Novi Aas LLC CurrentSince Sep 15, 2018 Accepting new patients
Macomb Anesthesia, PC CurrentSince Mar 1, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 24, 2024 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Jun 7, 2018 Accepting new patients
Southfield Rehabilitation Company Nurse Anesthetist, Certified Registered CurrentSince Apr 12, 2017 Accepting new patients
Feinerman Anesthesia PA CurrentSince Feb 2, 2023 Accepting new patients
Superior Anesthetists Associates, Inc. CurrentSince Jan 15, 2018 Accepting new patients
Ambulatory Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince May 31, 2006 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Detroit Osteopathic Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Crnas of Michigan Nurse Anesthetist, Certified Registered Past Accepting new patients
Novi Anesthesia Services PLC Past Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

359 Enterprise Ct
Bloomfld Hls, MI 48302
Phone (248) 220-7505

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

1349 S Rochester Rd
Ste 250
Rochester Hills, MI 48307
Phone (248) 601-0040

3601 W 13 Mile Rd
Royal Oak, MI 48073

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4000

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1003882077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 SUMERLYN CT",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261799",
            "telephone_number": "586-718-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "313-253-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATU",
        "first_name": "BAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704212005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "430F364420",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4654085",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.