Individual provider Active NPI

Kendall Gadd, CRNA

  • Certified Registered Nurse Anesthetist
  • Bloomfield Hills, MI
National Provider Identifier
1447758768
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704297005 Issued in MI
Practice address
3760 Peabody Dr
Bloomfield Hills, MI 48301-2037
Phone
(248) 670-9808
NPI assigned
Feb 1, 2018
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704297005 MI Primary

Addresses

Primary practice location

3760 Peabody Dr
Bloomfield Hills, MI 48301-2037

Mailing address

3760 Peabody Dr
Bloomfield Hills, MI 48301-2037
Phone (248) 670-9808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521003541 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042574022 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Aas LLCGroup PAC ID 9931324076, 38 clinicians
Northwestern Services LLCGroup PAC ID 4486723657, 47 clinicians
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

11051 Hall Rd
Suite 100
Utica, MI 48317-5737
Phone (586) 500-9222

30055 Northwestern Hwy
Suite L 60
Farmington Hills, MI 48334-3274
Phone (248) 265-6555

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 585-3023

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704297005MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2024 Accepting new patients
Northwestern Services, LLC CurrentSince Oct 10, 2022 Accepting new patients
Jawad a Shah MD PC CurrentSince Jul 26, 2024 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2022 Accepting new patients
West Michigan Aas LLC CurrentSince Nov 1, 2022 Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2019 Accepting new patients
Michigan Crnas Staffing LLC CurrentSince Dec 31, 2022 Accepting new patients
Jawad a Shah, MD PC CurrentSince Jul 26, 2024 Accepting new patients
Waterford Surgical Center, LLC Past Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613

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

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

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

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

130 Town Center Dr
Ste 106
Troy, MI 48084
Phone (248) 593-9780

11051 Hall Rd
Ste 100
Utica, MI 48317
Phone (248) 740-0658

Organizations & group practices 10

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 1

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1447758768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 PEABODY DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012037",
            "telephone_number": "248-670-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 PEABODY DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012037",
            "telephone_number": "248-670-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADD",
        "first_name": "KENDALL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704297005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.