Individual provider Active NPI

Kathryn Wladischkin, MD

  • Anesthesiology Physician
  • Grand Rapids, MI
National Provider Identifier
1518226133
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301100895 Issued in MI
Practice address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone
(616) 364-4200
NPI assigned
May 16, 2012
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01097745A IN
Anesthesiology Physician 207L00000X MD491986C PA
Anesthesiology Physician 207L00000X 14233-320 WI
Anesthesiology Physician 207L00000X C4690 KY
Anesthesiology Physician 207L00000X 4301100895 MI Primary
Anesthesiology Physician 207L00000X CDR.0005981 CO

Addresses

Primary practice location

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493

Mailing address

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4280

Other practice location 1

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4280

Other practice location 2

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO, IN, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20161005000377 MI Practitioner - Anesthesiology 6800104688 Reassigns benefits to 11 organizations
I20251216003145 CO Practitioner - Anesthesiology 6800104688 Reassigns benefits to 1 organization
I20260116000582 IN Practitioner - Anesthesiology 6800104688 Reassigns benefits to 1 organization
I20260202000009 WI Practitioner - Anesthesiology 6800104688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Anesthesia PCGroup PAC ID 1355243551, 69 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Sparrow Carson HospitalGroup PAC ID 7113836701, 63 clinicians
Anesthesia Medical Consultants, PCGroup PAC ID 3678751658, 87 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-9000

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-6801

5900 Byron Ctr Ave SW
Metro Health Hospital
Wyoming, MI 49519-9606
Phone (616) 364-4200

80 68TH St SE
Spectrum Health South Pavilion
Grand Rapids, MI 49548-6980
Phone (616) 391-8220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0005981COMDAnesthesiology Physician
01097745AINMDAnesthesiology Physician
C4690KYMDAnesthesiology Physician
MD491986CPAMDAnesthesiology Physician
14233-320WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital CurrentSince Apr 1, 2025 Accepting new patients
Anesthesia Medical Consultants, PC Anesthesiology CurrentSince Aug 29, 2023 Accepting new patients
West Michigan Anesthesia, PC Anesthesiology CurrentSince Oct 1, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Mar 13, 2026 Accepting new patients
Edward W. Sparrow Hospital Association Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Sparrow Carson Hospital Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Reid Physician Associates, Inc CurrentSince Mar 13, 2026 Accepting new patients
Anesthesia Partners of Colorado Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Association of Hospital Anesthesiologists SC Anesthesiology CurrentSince Feb 1, 2026 Accepting new patients

Locations

320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

8175 Reliable Pkwy
Chicago, IL 60686

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132

4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

736 Ford St
Kimberly, WI 54136

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

130 2nd St
#A107
Neenah, WI 54956

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1518226133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4280",
            "fax_number": "734-936-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259493",
            "telephone_number": "616-364-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-4280",
            "fax_number": "734-936-9091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-935-8747",
            "fax_number": "765-983-3023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WLADISCHKIN",
        "first_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01097745A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD491986C",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "14233-320",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "C4690",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301100895",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "CDR.0005981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.