Individual provider Active NPI

Loriyann Amertil, MD

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1871097071
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
205926 Issued in AK
Practice address
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone
(313) 745-5146
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301504968 MI
Anesthesiology Physician 207L00000X MD479856 PA
Anesthesiology Physician 207L00000X 75346 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 205926 AK Primary

Addresses

Primary practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Mailing address

36 Dartmouth St Apt 1210
Malden, MA 02148-5133
Phone (781) 420-2618

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other practice location 2

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NH, SD, AK, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220926002936 MI Practitioner - Anesthesiology 0244585735 Reassigns benefits to 2 organizations
I20240220003878 NH Practitioner - Anesthesiology 0244585735 Reassigns benefits to 2 organizations
I20240402003861 SD Practitioner - Anesthesiology 0244585735 Reassigns benefits to 1 organization
I20240909004118 AK Practitioner - Anesthesiology 0244585735 Reassigns benefits to 1 organization
I20250211000193 AZ Practitioner - Anesthesiology 0244585735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Providence Anchorage Anesthesia Medical Group PCGroup PAC ID 2163414830, 52 clinicians

Practice addresses (Care Compare)

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

3300 Providence Dr
Suite 207
Anchorage, AK 99508-4620
Phone (907) 561-0005

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522

8333 Felch St
Zeeland, MI 49464-2608

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD479856PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Feb 24, 2025 Accepting new patients
Sacred Heart Health Services CurrentSince Apr 11, 2024 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology CurrentSince Jul 31, 2024 Accepting new patients
Amoskeag Anesthesia, PLLC Anesthesiology CurrentSince Jul 16, 2024 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jan 29, 2024 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Oct 20, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Sacred Heart Health Services CurrentSince Apr 11, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
University Hospitals Medical Group Inc Anesthesiology PastSince Jul 31, 2024 Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

580 Court St
Keene, NH 03431
Phone (603) 354-5454

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 12

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1871097071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DARTMOUTH ST APT 1210",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485133",
            "telephone_number": "781-420-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-5146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-779-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMERTIL",
        "first_name": "LORIYANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301504968",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD479856",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "75346",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "205926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.