Individual provider Active NPI

Anastasia A Ganesh, CRNA

  • Certified Registered Nurse Anesthetist
  • Madison Heights, MI
National Provider Identifier
1811905490
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0801 Issued in AZ
Practice address
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone
(810) 753-0185
NPI assigned
Aug 3, 2006
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704147613 MI
Certified Registered Nurse Anesthetist 367500000X CRNA0801 AZ Primary

Addresses

Primary practice location

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1909
Phone (517) 787-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000603 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315996337 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novaspine Pain Institute PLCGroup PAC ID 9931323359, 20 clinicians

Practice addresses (Care Compare)

13203 N 103Rd Ave
Suite H5
Sun City, AZ 85351-3032
Phone (623) 777-4747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704147613MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services for Gi LLC CurrentSince Oct 1, 2021 Accepting new patients
Dec Anesthesia LLC CurrentSince Nov 12, 2019 Accepting new patients
Integrated Anesthesia Consultants PLC CurrentSince Nov 1, 2017 Accepting new patients
Novaspine Pain Institute, PLC CurrentSince Jun 1, 2023 Accepting new patients
Novaspine Pain Institute, PLC CurrentSince Jun 1, 2023 Accepting new patients
Central Arizona Endoscopy, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
Central Arizona Endoscopy LLC Current Accepting new patients
Asap Anesthesia, LLC CurrentSince Jan 11, 2022 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Avon Surgical Centers, LLC CurrentSince May 10, 2025 Accepting new patients
East Valley Endoscopy LLC PastSince Jun 17, 2016 Accepting new patients
Arizona Ketamine Specialists LLC Past Accepting new patients
Henry Ford West Bloomfield Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
Henry Ford Health Providence Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

10825 W McDowell Rd
Ste 320
Avondale, AZ 85392
Phone (623) 728-2911

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

2158 N Gilbert Rd
Ste 103
Mesa, AZ 85203
Phone (480) 751-3002

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

14155 N 83rd Ave
Ste 122
Peoria, AZ 85381
Phone (623) 694-1445

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

13203 N 103rd Ave
Ste H4
Sun City, AZ 85351

13203 N 103rd Ave
Ste H5
Sun City, AZ 85351
Phone 62377747474789

14300 W Granite Valley Dr
Ste A1
Sun City West, AZ 85375
Phone (602) 546-4934

14420 W Meeker Blvd
Ste 211
Sun City West, AZ 85375

File 50693
Los Angeles, CA 90074

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1811905490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011909",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "810-753-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESH",
        "first_name": "ANASTASIA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704147613",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.