Active NPI
Kevin Steven Senko, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704245992
- Practice address
- 3990 John R St
Detroit, MI 48201-2018 - Phone
- (313) 745-7600
- NPI assigned
- Dec 29, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704245992 | MI | Primary |
Addresses
Primary practice location
3990 John R St
Detroit, MI 48201-2018
Mailing address
PO Box 67000
Dept 203401
Detroit, MI 48267-2034
Phone (888) 278-4124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (214) 687-0001
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704245992 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Conquest Pain Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4 Columbus Ave
Ste 260
Bay City, MI 48708
Phone (989) 308-1840
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
375 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 491-8894
29877 Telegraph Rd
Southfield, MI 48034
Phone (248) 352-1890
15750 Northline Rd
Southgate, MI 48195
Phone (248) 798-3130
43145 Schoenherr Rd
Unit 13
Sterling Heights, MI 48313
Phone (586) 997-5048
3290 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 792-6527
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
2333 Progress St
West Branch, MI 48661
Phone (989) 343-3178
400 10th St E
Waconia, MN 55387
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.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1871986372
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
- NPI 1164871216
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1881924603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67000",
"address_2": "DEPT 203401",
"city": "DETROIT",
"state": "MI",
"postal_code": "482672034",
"telephone_number": "888-278-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-745-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENKO",
"first_name": "KEVIN",
"middle_name": "STEVEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-29",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704245992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Senior Transport, Inc
- Duane Anthony Senior, D.D.S.
- Senior's Choice Adult Day Program
- Senior's Choice Consulting, LLC
- Seniors Plus Case Management Mentoring and Development Corporation
- Yongyuth Senlamai, MD
- Matthew Scott Sennott
- Serkan Alex Senol, MD
- Sensational Dental, PC
- Ashley Sentell, DNP, APRN, AGACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.