Active NPI
Michael D Redd, CRNA
- Certified Registered Nurse Anesthetist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1113092
- Practice address
- 2507 Broadway St
Paducah, KY 42001-3124 - Phone
- (270) 442-8228
- Fax
- (270) 442-9566
- NPI assigned
- Dec 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1113092 | KY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 28254673A | IN |
Addresses
Primary practice location
2507 Broadway St
Paducah, KY 42001-3124
Mailing address
2507 Broadway St
Paducah, KY 42001-3124
Phone (270) 442-8228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, OH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1421 N 7TH St
Terre Haute, IN 47807-1005
Phone (812) 232-7192
211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 234-8161
274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone (574) 231-6800
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443
Hospital & facility affiliations
- Unity Physicians Hospital
- Saint Joseph Regional Medical Center - Plymouth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28254673A | IN | MD | Certified Registered Nurse Anesthetist |
| 1113092 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| United Surgeons, LLC | Current | Accepting new patients | |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients | |
| Ams Ohio PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The South Bend Clinic LLC | Current | Accepting new patients | |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| The South Bend Clinic, LLC | Current | Accepting new patients | |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients |
Locations (25 of 35)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
11460 Broadway
Crown Point, IN 46307
Phone (219) 488-0154
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
6836 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509
900 I St
Laporte, IN 46350
Phone (219) 324-1670
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
8900 Broadway
Merrillville, IN 46410
Phone (219) 252-2173
8514 Broadway
Merrillville, IN 46410
Phone (219) 756-5010
4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545
9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260
9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051
9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955
901 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 552-8561
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604
Interoperability endpoints
- michael.redd.1@16383.direct.athenahealth.com
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
Organizations & group practices 24
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.
-
- Anesthesiology Physician
- Mishawaka, IN
- NPI 1306722418
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1558800532
Nurse Anesthetist, Certified Registered, OH
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
IN, MI, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint John, IN
- NPI 1699724781
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1033454889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420013124",
"telephone_number": "270-442-8228",
"fax_number": "270-442-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420013124",
"telephone_number": "270-442-8228",
"fax_number": "270-442-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-05",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1113092",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28254673A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.