Active NPI
Nicole Aurora Radu-Yakob, CRNA
- Certified Registered Nurse Anesthetist
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704246323
- Practice address
- 6777 W Maple Rd
West Bloomfield, MI 48322-3013 - Phone
- (248) 661-4100
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704246323 | MI | Primary |
Addresses
Primary practice location
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Mailing address
1901 Mapleridge Rd
Rochester Hills, MI 48309-2749
Phone (248) 340-8618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700
2799 W Grand Blvd
Detroit, MI 48202-2608
2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 916-2600
39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone (248) 344-8080
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axon Anesthesia Consultants, PLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford West Bloomfield Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nsa Pain Services of Michigan III, PLLC | Current | Accepting new patients | |
| Henry Ford West Bloomfield Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1375 S Lapeer Rd
Ste 109
Lake Orion, MI 48360
Phone (248) 693-7950
3601 W 13 Mile Rd
Royal Oak, MI 48073
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- nradu60463@direct.hfhs.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1518104686
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1235643495
-
- Pain Medicine (Anesthesiology) Physician
- Taylor, MI
- NPI 1376169524
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba Henry Ford West Bloomfield-Employed Physicians
- Internal Medicine Physician
- West Bloomfield, MI
- NPI 1386920122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1013157411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MAPLERIDGE RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483092749",
"telephone_number": "248-340-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6777 W MAPLE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223013",
"telephone_number": "248-661-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADU-YAKOB",
"first_name": "NICOLE",
"middle_name": "AURORA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704246323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.