NPIMap

Organization Active NPI

Comprehensive Anesthesia & Perioperative Services, Inc.

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
National Provider Identifier
1245202241
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704175683 Issued in MI
Legal business name
COMPREHENSIVE ANESTHESIA & PERIOPERATIVE SERVICES, INC.
Practice address
29201 Telegraph Rd Ste 315
Southfield, MI 48034
Phone
(888) 209-0305
Fax
(952) 442-3620
NPI assigned
Feb 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Agnes E Vandeputte, CRNANPI 1912986449
Title
President
Phone
(248) 842-6968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704175683 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 315
Southfield, MI 48034

Mailing address

400 10TH St E
Waconia, MN 55387-4552
Phone (888) 209-0305

Other practice location 1

547 Kirts Blvd
Apt 7
Troy, MI 48084-5229
Phone (248) 842-6968

Other practice location 2

37399 Garfield Rd Ste 100
Clinton Twp, MI 48036-3672
Phone (888) 209-0305

Other identifiers 1

IdentifierTypeStateIssuer
430F374030OtherMIBCBS GROUP PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202000363 MI Part B Supplier - Clinic/Group Practice 1355244757 Receives reassigned benefits from 29 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

38770 Garfield Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 349-1640

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

1565 W Big Beaver Rd
Bldg F
Troy, MI 48084
Phone (248) 649-1975

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1245202241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 10TH ST E",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 315",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "547 Kirts Blvd",
            "address_2": "Apt 7",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480845229",
            "country_code": "US",
            "telephone_number": "248-842-6968",
            "fax_number": "248-729-7129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37399 Garfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480363672",
            "country_code": "US",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE ANESTHESIA & PERIOPERATIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "VANDEPUTTE",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-842-6968",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704175683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "430F374030",
            "state": "MI"
        }
    ],
    "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 Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.