Active NPI
Michele Safko Squires, M.D.
- Anesthesiology Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01054643A
- Practice address
- 416 E Monroe St
Suite 200
South Bend, IN 46601-2360 - Phone
- (574) 232-8119
- Fax
- (574) 288-0235
- NPI assigned
- Dec 27, 2005
- 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 | 01054643A | IN | Primary |
Addresses
Primary practice location
416 E Monroe St
Suite 200
South Bend, IN 46601-2360
Mailing address
416 E Monroe St
Suite 200
South Bend, IN 46601-2360
Phone (574) 232-8119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200422280 | Medicaid | IN |
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
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 6TH St
Traverse City, MI 49684-2369
Phone (231) 935-5800
4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500
Hospital & facility affiliations
- Munson Medical Center
- Kalkaska Memorial Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Anesthesiology | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Northern Anesthesia Providers PC | Anesthesiology | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Group | Anesthesiology | Current | Accepting new patients |
Locations
2891 Momentum Pl
Chicago, IL 60689
602 Jackson St
Petoskey, MI 49770
Phone (231) 348-2795
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
1200 Sixth St
Ste 200
Traverse City, MI 49684
Organizations & group practices 6
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
- Traverse City, MI
- NPI 1710735287
-
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
-
- Anesthesiology Physician
- Petoskey, MI
- NPI 1396834628
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
- Geriatric Medicine (Internal Medicine) Physician
- Traverse City, MI
- NPI 1326801440
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1972225571
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1831176429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E MONROE ST",
"address_2": "SUITE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012360",
"telephone_number": "574-232-8119",
"fax_number": "574-288-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E MONROE ST",
"address_2": "SUITE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012360",
"telephone_number": "574-232-8119",
"fax_number": "574-288-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "MICHELE",
"middle_name": "SAFKO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01054643A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200422280",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.