Active NPI
Monica Nicole Servin, MD
- Anesthesiology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301076391
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301076391 | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4642119 | Medicaid | MI |
Other names 1
- Monica Riesner
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25500 Meadowbrook Rd
Suite 110
Novi, MI 48375-1879
Phone (248) 477-2200
2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 916-2000
Hospital & facility affiliations
- Henry Ford Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301076391 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Novi Aas LLC | Anesthesiology | Current | Accepting new patients |
| Northwestern Services, LLC | Anesthesiology | Current | Accepting new patients |
| Regents of the University of Michigan | Anesthesiology | Current | Accepting new patients |
| Detroit Anesthesia Group PLLC | Anesthesiology | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Anesthesiology | Current | Accepting new patients |
Locations
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
#700
Ann Arbor, MI 48108
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
Interoperability endpoints
- https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
- mservin944980@direct.hfhs.org
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.
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1003989690
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Anesthesiology Physician
- Novi, MI
- NPI 1316212988
-
- Podiatrist
- Detroit, MI
- NPI 1396824207
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anesthesiology Physician
- Farmington Hills, MI
- NPI 1083883649
-
- Anesthesiology Physician
- Ann Arbor, MI
- NPI 1093767766
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1669498283",
"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": [],
"basic": {
"last_name": "SERVIN",
"first_name": "MONICA",
"middle_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301076391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4642119",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "RIESNER",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.