Individual provider Active NPI

Steven Peter Petrovas, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Grand Rapids, MI
National Provider Identifier
1568775443
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301096579 Issued in MI
Practice address
1900 Wealthy St SE Ste 290
Grand Rapids, MI 49506-2969
Phone
(616) 774-8345
Fax
(616) 774-8350
NPI assigned
Jul 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301096579 MI
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301096579 MI Primary

Addresses

Primary practice location

1900 Wealthy St SE Ste 290
Grand Rapids, MI 49506-2969

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150604001784 MI Practitioner - AnesthesiologyPractitioner - Pain Management 0648591412 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Michigan PLLCGroup PAC ID 9638481591, 192 clinicians
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
University Pain Clinic Associates PLLCGroup PAC ID 3870894892, 7 clinicians
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-3300

2006 Hogback Rd
Ann Arbor, MI 48105-9750

3990 John R St
Detroit, MI 48201-2018
Phone (313) 993-0822

4160 John R St
Suite 522
Detroit, MI 48201-2021
Phone (313) 745-1293

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615

5450 Fort St
Trenton, MI 48183-4601
Phone (214) 687-0001

620 Byron Rd
Howell, MI 48843-1002
Phone (517) 545-6316

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Anesthesia, PLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Anesthesia Services Associates, PC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Pain Medicine CurrentSince Apr 10, 2021 Accepting new patients
Martin Quiroga PC CurrentSince Aug 12, 2019 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Anesthesiology CurrentSince Nov 15, 2021 Accepting new patients
Northstar Anesthesia of Michigan II PC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince Jan 11, 2023 Accepting new patients
University Pain Clinic Associates, PLLC Pain Medicine CurrentSince Feb 14, 2018 Accepting new patients
American Anesthesiology Associates of Michigan, PC Anesthesiology Past Accepting new patients

Locations

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

4160 John R St
Ste 522
Detroit, MI 48201
Phone (313) 745-1293

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4100 John R St
#A
Detroit, MI 48201

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

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

432 W University Dr
Rochester, MI 48307
Phone (248) 651-6122

2450 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 650-0096

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

3601 W 13 Mile Rd
Royal Oak, MI 48073

27101 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (586) 754-5900

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

2300 Haggerty Rd
Ste 1000
West Bloomfield, MI 48323
Phone (248) 896-6300

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

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 and National Provider Directory roles.

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1568775443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WEALTHY ST SE STE 290",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062969",
            "telephone_number": "616-774-8345",
            "fax_number": "616-774-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVAS",
        "first_name": "STEVEN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301096579",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301096579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.