Individual provider Active NPI

Michael D Redd, CRNA

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
National Provider Identifier
1033454889
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1113092 Issued in KY
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

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191118000489 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325283294 Reassigns benefits to 9 organizations
I20220623000603 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325283294 Reassigns benefits to 4 organizations
I20220914001417 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325283294 Reassigns benefits to 3 organizations

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
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
The South Bend Clinic LLCGroup PAC ID 3779577937, 171 clinicians
Community Health Center of Branch CountyGroup PAC ID 9335037514, 56 clinicians
United Surgeons LLCGroup PAC ID 0941260061, 22 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

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 Hospital, Mishawaka, IN, CCN 150177
  • Saint Joseph Regional Medical Center - Plymouth Hospital, Plymouth, IN, CCN 150076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28254673AINMDCertified Registered Nurse Anesthetist
1113092KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 Accepting new patients
Community Health Center of Branch County CurrentSince May 1, 2022 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County CurrentSince May 1, 2022 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. CurrentSince Mar 6, 2023 Accepting new patients
Ams Ohio PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2022 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2022 Accepting new patients
The South Bend Clinic LLC CurrentSince Apr 26, 2022 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 CurrentSince Apr 21, 2022 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 CurrentSince Jul 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Apr 21, 2022 Accepting new patients
The South Bend Clinic, LLC CurrentSince Apr 26, 2022 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2022 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 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

  • Direct secure messaging: michael.redd.1@16383.direct.athenahealth.com
  • FHIR API: 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.

View all 24

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": "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.

Verify at the official NPI Registry.