Individual provider Active NPI

Christine Ann Crader, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Detroit, MI
National Provider Identifier
1366440463
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
4301075471 Issued in MI
Practice address
22151 Moross Rd
Detroit, MI 48236-2167
Phone
(313) 343-3072
Fax
(313) 417-3616
NPI assigned
Jul 12, 2005
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075471 MI
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4301075471 MI Primary

Addresses

Primary practice location

22151 Moross Rd
Detroit, MI 48236-2167

Mailing address

22151 Moross Rd
Detroit, MI 48236-2167
Phone (313) 343-3072

Other practice location 1

23411 Jefferson Ave
Suite 100
Saint Clair Shores, MI 48080-1949
Phone (586) 778-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000050 MI Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 7719876671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
University of Michigan Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, shared by 8 NPIs, 155 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

19229 Mack Ave
Suite 24
Grosse Pointe Woods, MI 48236-2857
Phone (313) 884-5522

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Feb 1, 2014 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Internal Medicine CurrentSince Aug 25, 2023 Accepting new patients
St Clair Adult Medicine Specialists PC Internal Medicine Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Aug 1, 2023 Accepting new patients
Henry Ford Health Macomb Oakland Hospital CurrentSince Aug 1, 2023 Accepting new patients
Henry Ford Cornerstone Medical Group Current Accepting new patients
Henry Ford Health St. John Hospital Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients

Locations

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

17141 Kercheval Ave
Spc Pc
Grosse Pointe, MI 48230

22151 Moross Rd
Ste 108C
Grosse Pointe, MI 48236

22201 Moross Rd
Ste 150
Grosse Pointe, MI 48236
Phone (313) 343-7110

19229 Mack Ave
Ste 24
Grosse Pointe Woods, MI 48236
Phone (313) 884-5522

22151 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-4867

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

23411 Jefferson Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 299-1123

23501 Jefferson Ave
St Clr Shores, MI 48080
Phone (586) 863-5030

45640 Schoenherr Rd
Utica, MI 48315
Phone (586) 247-4300

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1366440463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362167",
            "telephone_number": "313-343-3072",
            "fax_number": "313-417-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362167",
            "telephone_number": "313-343-3072",
            "fax_number": "313-417-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23411 Jefferson Ave",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801949",
            "country_code": "US",
            "telephone_number": "586-778-4080",
            "fax_number": "586-778-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRADER",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075471",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301075471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.