Phong Dang
Individual provider Active NPI Certified Registered Nurse Anesthetist · Farmington Hills, MI
NPI 1508548439 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1508548439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704322234 (MI)
- Practice address
- 28050 Grand River Ave
Farmington Hills, MI 48336-5919 - Phone
- (947) 521-8000
- NPI assigned
- Aug 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Wayne State University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Botsford General Hospital
Practice addresses (Care Compare)
28050 Grand River Ave
Farmington Hills, MI 48336-5933
Phone (947) 522-1860
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.54 of 100
- Quality
- 93.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.69
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231003002343 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870947286 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Botsford General Hospital | Current |
Accepting new patients | |
| Botsford General Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704322234 | MI | Yes |
Addresses
Primary practice location
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Mailing address
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000
Other providers in Farmington Hills, MI
- Anuradha Dang
- Elaine Dang
- Emma Dang
- Jenny Dang
- Phong Dang
- Quockhiem Dang
- Timothy Dang
- Daniel B Hoard MD PLLC
- Daniel Klein, Psy.D., P.C.
- Aaliyah Iszabellah Daniel
All providers in Farmington Hills, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.