Active NPI
Renzo Arnold, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 128957
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 - Phone
- (248) 898-5000
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 128957 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
428 Austin Ave
Royal Oak, MI 48067-1764
Phone (248) 659-2703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016001980 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6800127283 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Michigan Medical School, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Monaco Management LLCNorthstar Anesthesia of Michigan III PLLCApollo Medical Group of Traverse City PLLC
Practice addresses (Care Compare)
300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101
33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (214) 687-0001
3663 N Country Dr
Traverse City, MI 49684-4587
Phone (231) 252-1228
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Mymichigan Medical Center Alma
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128957 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Beaumont Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apollo Medical Group of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apollo Medical Group of Traverse City PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Monaco Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| William Beaumont Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
3200 W Centre Ave
Ste 101
Portage, MI 49024
Phone (269) 323-9905
3601 W 13 Mile Rd
Royal Oak, MI 48073
3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1467093153
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alma, MI
- NPI 1568125177
MI, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portage, MI
- NPI 1699582593
MI, Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
MI, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
Hospital & facility affiliations 5
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": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1508414541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 AUSTIN AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671764",
"telephone_number": "248-659-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "RENZO",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "128957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.