Individual provider Active NPI

Ana Marie Kotsogiannis, CRNA

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
National Provider Identifier
1093172595
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704347058 Issued in MI
Practice address
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone
(248) 423-5198
NPI assigned
Jan 28, 2016
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704347058 VA
Certified Registered Nurse Anesthetist 367500000X APN.0999380-CRNA CO
Certified Registered Nurse Anesthetist 367500000X 4704347058 MI Primary

Addresses

Primary practice location

22401 Foster Winter Dr
Southfield, MI 48075-3724

Mailing address

3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (919) 882-0705

Other practice location 1

36650 Five Mile Rd
Livonia, MI 48154-1951
Phone (734) 434-6262

Other practice location 2

11012 E 13 Mile Rd Ste 112A
Warren, MI 48093-2546
Phone (248) 423-5100

Other practice location 3

36650 Five Mile Rd
Livonia, MI 48154-1951
Phone (734) 786-2317

Other practice location 4

43475 Dalcoma Dr Ste 100
Clinton Twp, MI 48038-3593
Phone (586) 263-5043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160330000072 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608173059 Reassigns benefits to 1 organization
I20190904001941 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608173059 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Georgetown University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Ambulatory Anesthesia Associates PCGroup PAC ID 5092729020, 27 clinicians
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

230 W Maple Rd
Troy, MI 48084-5471
Phone (248) 244-1500

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (214) 687-0001

43475 Dalcoma Dr
Suite 100
Clinton Township, MI 48038-3593
Phone (586) 263-5043

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704347058VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Mar 14, 2016 Accepting new patients
St Mary Mercy Hospital Crna Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Northwestern Services, LLC CurrentSince Dec 15, 2020 Accepting new patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Long Lake Anesthesiology Consultants, PLC CurrentSince Aug 1, 2024 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2020 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Dec 1, 2024 Accepting new patients
PSJ Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Mar 14, 2016 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Superior Anesthetists Associates, Inc. CurrentSince May 25, 2022 Accepting new patients
William Beaumont Hospital CurrentSince Aug 1, 2019 Accepting new patients
Ambulatory Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2021 Accepting new patients

Locations

2009 Momentum Pl
Chicago, IL 60689

350 E Devon Ave
Itasca, IL 60143

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

36650 5 Mile Rd
Livonia, MI 48154
Phone (734) 434-6262

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

3601 W 13 Mile Rd
Royal Oak, MI 48073

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

3289 Woodburn Rd
Ste 100
Annandale, VA 22003
Phone (703) 207-7524

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: akotsogiannis1135125@direct.hfhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 9

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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1093172595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0705",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "248-423-5198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36650 Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541951",
            "country_code": "US",
            "telephone_number": "734-434-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11012 E 13 Mile Rd Ste 112A",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932546",
            "country_code": "US",
            "telephone_number": "248-423-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36650 Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541951",
            "country_code": "US",
            "telephone_number": "734-786-2317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43475 Dalcoma Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480383593",
            "country_code": "US",
            "telephone_number": "586-263-5043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTSOGIANNIS",
        "first_name": "ANA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "4704347058",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0999380-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704347058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.