Individual provider Active NPI

Lori Yaldoo, CRNA

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
National Provider Identifier
1609828615
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704225749 Issued in MI
Practice address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone
(952) 442-9770
NPI assigned
May 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704225749 MI Primary

Addresses

Primary practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

Dept 203401
PO Box 67000
Detroit, MI 48267-0001
Phone (952) 442-9770

Other identifiers 1

IdentifierTypeStateIssuer
LY225749OtherMIBLUE CROSS OF MI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000010 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890702369 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
ASC Services of Michigan LLCGroup PAC ID 3971733569, 14 clinicians
Northstar Anesthesia of Michigan PLLCGroup PAC ID 9638481591, 192 clinicians

Practice addresses (Care Compare)

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

33400 6 Mile Rd
Suite B
Livonia, MI 48152-3165
Phone (734) 452-7111

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
ASC Services of Michigan LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Long Lake Anesthesiology Consultants, PLC CurrentSince Dec 9, 2025 Accepting new patients
Waterford Anesthesia, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Michigan Interventional Pain Associates PLLC CurrentSince Nov 12, 2017 Accepting new patients
Henry Ford Health System Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2025 Accepting new patients
Northstar Anesthesia of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2015 Accepting new patients
Henry Ford Health System CurrentSince Feb 25, 2025 Accepting new patients
Waterford Surgical Center, LLC Past Accepting new patients

Locations

2009 Momentum Pl
Chicago, IL 60689

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

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

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

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

1546 Callis Rd
Lapeer, MI 48446
Phone (810) 667-4000

33400 6 Mile Rd
Ste B
Livonia, MI 48152
Phone (734) 452-7111

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

5220 Highland Rd
Ste 1
Waterford, MI 48327
Phone (248) 886-5555

5220 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 461-2800

2300 Haggerty Rd
Ste 2100
West Bloomfield, MI 48323
Phone (248) 624-7246

Interoperability endpoints

  • Direct secure messaging: lyaldoo1085173@direct.hfhs.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609828615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 203401",
            "address_2": "PO BOX 67000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670001",
            "telephone_number": "952-442-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "952-442-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALDOO",
        "first_name": "LORI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704225749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI",
            "identifier": "LY225749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.