NPIMap

Organization Active NPI

Motor City Anesthesia Services PLLC

  • Anesthesiology Physician
  • Dearborn, MI
National Provider Identifier
1457058125
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MOTOR CITY ANESTHESIA SERVICES PLLC
Practice address
18100 Oakwood Blvd Ste 100
Dearborn, MI 48124-4085
Phone
(248) 420-9329
NPI assigned
Feb 13, 2023
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Dr. Balajee Nallamothu, MDNPI 1104863414
Title
President
Phone
(248) 882-7048

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
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

18100 Oakwood Blvd Ste 100
Dearborn, MI 48124-4085

Mailing address

PO Box 675439
Detroit, MI 48267-5439
Phone (734) 212-3097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415002192 MI Part B Supplier - Clinic/Group Practice 3173962800 Receives reassigned benefits from 37 practitioners
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1457058125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675439",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482675439",
            "telephone_number": "734-212-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "248-420-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOR CITY ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "NALLAMOTHU",
        "authorized_official_first_name": "BALAJEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-882-7048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.