Individual provider Active NPI

Roland Tuquero, CRNA

  • Certified Registered Nurse Anesthetist
  • Livonia, MI
National Provider Identifier
1962447367
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704246399 Issued in MI
Practice address
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone
(734) 786-2317
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704246399 MI Primary

Addresses

Primary practice location

36475 Five Mile Rd
Livonia, MI 48154-1971

Mailing address

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

Other practice location 1

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 797-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001243 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436191855 Reassigns benefits to 12 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
Pinnacle Anesthesia PLLCGroup PAC ID 8628471190, 37 clinicians
Huron Gastroenterology Associates PCGroup PAC ID 0840288221, 95 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704246399MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Endoscopy Center, PLC CurrentSince Dec 16, 2020 Accepting new patients
Surgical Centers of Michigan, LLC CurrentSince Dec 16, 2020 Accepting new patients
Pinnacle Anesthesia PLLC CurrentSince Aug 1, 2021 Accepting new patients
Henry Ford Health System Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2019 Accepting new patients
Henry Ford West Bloomfield Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2019 Accepting new patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Surgical Centers of Michigan, LLC. Current Accepting new patients
PSJ Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2019 Accepting new patients
St Mary Mercy Hospital Crna Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Henry Ford West Bloomfield Hospital CurrentSince Nov 6, 2019 Accepting new patients
Botsford General Hospital CurrentSince Nov 1, 2022 Accepting new patients
Botsford General Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
Macomb Endoscopy Center PLC Current Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Jun 1, 2021 Accepting new patients
Henry Ford Health System CurrentSince Aug 17, 2019 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2020 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients

Locations

350 E Devon Ave
Itasca, IL 60143

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

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

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

26051 Lahser Rd
Southfield, MI 48033
Phone (248) 223-9925

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1962447367",
    "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": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-786-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486012551",
            "country_code": "US",
            "telephone_number": "989-797-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUQUERO",
        "first_name": "ROLAND",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704246399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.