Individual provider Active NPI

Ryan Thomas Brunner, M.D.

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1841636065
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301112829 Issued in MI
Practice address
22101 Moross Rd
Detroit, MI 48236-2148
Phone
(313) 343-4000
NPI assigned
May 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125-063218 IL
Anesthesiology Physician 207L00000X 4301112829 MI Primary

Addresses

Primary practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

Cardiovascular Center, RM. 4172
1500 E. Medical Center Drive, SPC 5861
Ann Arbor, MI 48109

Other practice location 1

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000

Other practice location 2

43475 Dalcoma Dr Ste 100
Clinton Twp, MI 48038-3593
Phone (586) 263-5043

Other practice location 3

11012 E 13 Mile Rd
Warren, MI 48093-2572
Phone (586) 751-9800

Other practice location 4

22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5197

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
I20180530002020 MI Practitioner - Anesthesiology 3476856501 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St John Anesthesiologists, PCGroup PAC ID 5799747283, 21 clinicians
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Practice addresses (Care Compare)

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

43475 Dalcoma Dr
Suite 100
Clinton Township, MI 48038-3593
Phone (586) 263-5043

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8200

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of Mi PC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
St John Anesthesiologists, PC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Lakeside Anesthesia Associates, PLLC Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Anesthesiology CurrentSince Aug 15, 2024 Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

11012 E 13 Mile Rd
Warren, MI 48093
Phone (586) 573-8890

11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880

Organizations & group practices 4

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 7

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1841636065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARDIOVASCULAR CENTER, RM. 4172",
            "address_2": "1500 E. MEDICAL CENTER DRIVE, SPC 5861",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Harrington St",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432920",
            "country_code": "US",
            "telephone_number": "586-493-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43475 Dalcoma Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480383593",
            "country_code": "US",
            "telephone_number": "586-263-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11012 E 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932572",
            "country_code": "US",
            "telephone_number": "586-751-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22401 Foster Winter Dr",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753724",
            "country_code": "US",
            "telephone_number": "248-423-5197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125-063218",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301112829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.