Active NPI
Patricia Ljubic, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704124371
- Practice address
- 3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769 - Phone
- (248) 423-3144
- NPI assigned
- Mar 10, 2006
- 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 | 4704124371 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769
Mailing address
22955 Lee CT
Saint Clair Shores, MI 48080-2721
Phone (586) 773-4324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4575698 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040306000016 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2264320811 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Mayo Medical School, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Asa Staffing Inc
Practice addresses (Care Compare)
21230 Dequindre Rd
Warren, MI 48091-2279
Phone (586) 427-1000
Hospital & facility affiliations
- McLaren Macomb
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southfield Rehabilitation Company | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southfield Rehabilitation Company | Current | Accepting new patients | |
| Southfield Rehabilitation Company | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesiology Associates of Mi PC | Current | Accepting new patients | |
| Detroit Osteopathic Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| American Anesthesiology Associates of Michigan, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Straith Hospital for Special Surgery | Past | Accepting new patients | |
| Garden City Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
131 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000
159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000
468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
3601 W 13 Mile Rd
Royal Oak, MI 48073
3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360
21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000
13355 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-7300
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- https://phsfhir.primehealthcare.com/PHS-PRD-FHIR/api/FHIR/R4
Organizations & group practices 12
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
- Rochester, MI
- NPI 1114378981
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
MI, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
MI, Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
-
- Ambulatory Surgical Clinic/Center
- Warren, MI
- NPI 1619969540
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1336182351
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Garden City, MI
- NPI 1023052420
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1073844106
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
Hospital & facility affiliations 2
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": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1013985472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22955 LEE CT",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802721",
"telephone_number": "586-773-4324",
"fax_number": "519-979-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"address_2": "400 FSC - PCS",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769",
"telephone_number": "248-423-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LJUBIC",
"first_name": "PATRICIA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704124371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4575698",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.