Individual provider Active NPI

Lawrence Victor Safadi, M.D.

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1235346420
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301088616 Issued in MI
Practice address
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone
(989) 400-3169
NPI assigned
May 17, 2007
Last updated
Apr 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301088616 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Mailing address

20100 Outer Drive
Dearborn, MI 48124
Phone (313) 278-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100923001346 MI Practitioner - Anesthesiology 7911023239 Reassigns benefits to 5 organizations
I20191004002204 TX Practitioner - Anesthesiology 7911023239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30200 Telegraph Rd
Suite 456
Bingham Farms, MI 48025-4506
Phone 2482062990103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088616MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amk Anesthesia Staffing, Inc CurrentSince Oct 21, 2023 Accepting new patients
Northland Radiology Inc. CurrentSince Mar 15, 2025 Accepting new patients
Greenfield and 9 Mile Medical Center PLLC CurrentSince Jun 1, 2020 Accepting new patients
Specialty Medical Center Inc CurrentSince Jan 17, 2025 Accepting new patients
Detroit Anesthesia Group PLLC Anesthesiology CurrentSince Dec 22, 2012 Accepting new patients
Northland Radiology Inc Anesthesiology CurrentSince Mar 15, 2025 Accepting new patients
Renaissance Medical Foundation Current Accepting new patients
Greenfield and 9 Mile Medical Center PLLC CurrentSince Jun 1, 2020 Accepting new patients
McAllen Anesthesia Consultants, PA Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
McAllen Anesthesia Consultants, PA Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Lakes Anesthesia, PLC Anesthesiology Past Accepting new patients
Specialty Medical Center Inc Past Accepting new patients
Anesthesia Services, PC Grace Past Accepting new patients

Locations

13530 Michigan Ave
Ste 110
Dearborn, MI 48126
Phone (248) 844-8281

34020 7 Mile Rd
Ste 101
Livonia, MI 48152
Phone (248) 516-5016

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

20820 Greenfield Rd
Oak Park, MI 48237
Phone (248) 557-3303

20905 Greenfield Rd
Ste 402M
Southfield, MI 48075
Phone (248) 513-8229

20905 Greenfield Rd
Ste 406M
Southfield, MI 48075
Phone (248) 513-8229

26222 Telegraph Rd
Southfield, MI 48033
Phone (248) 827-2557

44056 Mound Rd
Ste 105
Sterling Hts, MI 48314
Phone (586) 540-1094

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 15

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 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1235346420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 OUTER DRIVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-278-5320",
            "fax_number": "313-278-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "989-400-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFADI",
        "first_name": "LAWRENCE",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301088616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.