NPIMap

Organization Active NPI

Pinnacle Anesthesia PLLC

  • Anesthesiology Physician
  • Macomb, MI
National Provider Identifier
1295301133
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PINNACLE ANESTHESIA PLLC
Practice address
48801 Romeo Plank Rd Ste 101
Macomb, MI 48044-2165
Phone
(586) 726-8487
NPI assigned
Jun 1, 2021
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Mary Michalek, CPPM
Title
Director of Revenue Cycle
Phone
(586) 726-8423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

48801 Romeo Plank Rd Ste 101
Macomb, MI 48044-2165

Mailing address

1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710

Other practice location 1

4600 Investment Dr Ste 270
Troy, MI 48098-6375
Phone (248) 267-6222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210721000763 MI Part B Supplier - Clinic/Group Practice 8628471190 Receives reassigned benefits from 59 practitioners
Practice locations: Lansing, MI; Troy, MI; Rochester Hills, MI; Macomb, MI

National Provider Directory

National Provider Directory

Locations

2909 E Grand River Ave
Ste 302
Lansing, MI 48912
Phone (517) 337-8680

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1295301133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076120",
            "telephone_number": "248-844-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48801 ROMEO PLANK RD STE 101",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442165",
            "telephone_number": "586-726-8487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Investment Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480986375",
            "country_code": "US",
            "telephone_number": "248-267-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "MICHALEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "586-726-8423",
        "authorized_official_credential": "CPPM"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.