Individual provider Active NPI

Patricia Ljubic, CRNA

  • Certified Registered Nurse Anesthetist
  • Royal Oak, MI
National Provider Identifier
1013985472
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704124371 Issued in MI
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

Updated by the provider on Jul 31, 2007

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 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

IdentifierTypeStateIssuer
4575698MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 146 clinicians

Practice addresses (Care Compare)

21230 Dequindre Rd
Warren, MI 48091-2279
Phone (586) 427-1000

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Dec 30, 2011 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2017 Accepting new patients
Henry Ford Health System Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2011 Accepting new patients
Southfield Rehabilitation Company Nurse Anesthetist, Certified Registered CurrentSince May 25, 2011 Accepting new patients
Southfield Rehabilitation Company CurrentSince May 25, 2011 Accepting new patients
Southfield Rehabilitation Company Nurse Anesthetist, Certified Registered Current Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Jan 15, 2018 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.