Individual provider Active NPI

Ananthamurthy Haniya Nagabhushana, MD, FRCA

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1790915965
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301094247 Issued in MI
Practice address
4201 Saint Antoine St
DRH/Uhc Suit 3J.1.1
Detroit, MI 48201-2153
Phone
(313) 745-4300
Fax
(313) 745-4777
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301094247 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
DRH/Uhc Suit 3J.1.1
Detroit, MI 48201-2153

Mailing address

3990 John R St
Box 162
Detroit, MI 48201-2018
Phone (313) 745-7233

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
I20130820000127 MI Practitioner - Anesthesiology 8921240045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services Associates PCGroup PAC ID 4385557602, 67 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Crittenton Hospital Medical Center
Rochester, MI 48307-1863
Phone (248) 652-5000

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000

1221 Pine GRV
Port Huron, MI 48060-3511

21510 Harrington St
Suite 300
Clinton Township, MI 48036-2378
Phone (586) 323-4575

2775 Blake Rd
Jackson, MI 49201-8838
Phone (517) 787-2906

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

50 N Perry St
McLaren Oakland
Pontiac, MI 48342-2217
Phone (248) 338-5000

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services Associates, PC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
Detroit Medical Center Past Accepting new patients

Locations

2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906

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

Interoperability endpoints

  • Direct secure messaging: anagabhushana1142609@direct.hfhs.org

Organizations & group practices 3

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 6

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1790915965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "address_2": "BOX 162",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-745-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "DRH/UHC SUIT 3J.1.1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4300",
            "fax_number": "313-745-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGABHUSHANA",
        "first_name": "ANANTHAMURTHY",
        "middle_name": "HANIYA",
        "name_prefix": "Dr.",
        "credential": "MD, FRCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301094247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.