Active NPI
Chad Michael Roberts, CRNA
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704221969
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 4704221969 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-6499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4624504 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456
7555 Grand River Rd
Brighton, MI 48114-9338
Phone (810) 854-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sjmhs Anesthesia Services | Current | Accepting new patients | |
| Long Lake Anesthesiology Consultants, PLC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Genesys Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ascension Genesys Hospital | Current | Accepting new patients | |
| American Anesthesiology Associates of Michigan, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
7794 Solution Ctr
Chicago, IL 60677
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
5701 Bow Pointe Dr
Ste 145
Clarkston, MI 48346
Phone (248) 922-4800
1121 W Hill Rd
Flint, MI 48507
Phone (810) 232-8888
501 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-4800
1 Genesys Pkwy
#H
Grand Blanc, MI 48439
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
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
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
Organizations & group practices 9
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
- Howell, MI
- NPI 1215026281
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
- NPI 1558517367
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Skilled Nursing Facility
- Grand Blanc, MI
- NPI 1093125312
-
- Certified Registered Nurse Anesthetist
- Ypsilanti, MI
- NPI 1184069874
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1205271996
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1619083011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [
{
"address_1": "1 Genesys Pkwy",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484398065",
"country_code": "US",
"telephone_number": "810-606-6499",
"fax_number": "810-606-7245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704221969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4624504",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.