Individual provider Active NPI

Michele Fliss, M.D.

  • Anesthesiology Physician
  • Ann Arbor, MI
National Provider Identifier
1447266556
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301080063 Issued in MI
Practice address
2006 Hogback Rd
Suite 5
Ann Arbor, MI 48105-9750
Phone
(734) 786-8086
NPI assigned
Jul 31, 2006
Last updated
May 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 4301080063 MI Primary

Addresses

Primary practice location

2006 Hogback Rd
Suite 5
Ann Arbor, MI 48105-9750

Mailing address

2006 Hogback Rd
Ste 5a
Ann Arbor, MI 48105-9750

Other identifiers 1

IdentifierTypeStateIssuer
104906960MedicaidMI

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
I20060921000441 MI Practitioner - Anesthesiology 5890790091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Anesthesia Associates PCGroup PAC ID 5294623336, 20 clinicians
Providence Park Anesthesia Associates, PCGroup PAC ID 7315009479, 19 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

30400 Telegraph Rd
Suite 405
Bingham Farms, MI 48025-5817
Phone (248) 849-8138

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080063MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Anesthesia Associates, PC Anesthesiology CurrentSince Oct 25, 2022 Accepting new patients
Providence Park Anesthesia Associates, PC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients

Locations

30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

Organizations & group practices 2

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 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1447266556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD",
            "address_2": "STE 5A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD",
            "address_2": "SUITE 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750",
            "telephone_number": "734-786-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLISS",
        "first_name": "MICHELE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301080063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104906960",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.