Active NPI
Joesina Manalel Wadehra
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 20114080433
- Practice address
- 1240 Diamond CT Unit C
Royal Oak, MI 48067-3158 - Phone
- (248) 974-2187
- NPI assigned
- Jul 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704313315 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 20114080433 | MI | Primary |
Addresses
Primary practice location
1240 Diamond CT Unit C
Royal Oak, MI 48067-3158
Mailing address
1240 Diamond CT Unit C
Royal Oak, MI 48067-3158
Phone (248) 974-2187
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
- Oakland College of Medicine and Surgery, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (214) 687-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704313315 | MI | MD | Registered Nurse |
| 20114080433 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Ann Arbor, PLLC | Single Specialty | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Single Specialty | Current | Accepting new patients |
| Alliance Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
| St Mary Mercy Hospital Crna | Single Specialty | Current | Accepting new patients |
| Jawad a Shah, MD PC | Single Specialty | Current | Accepting new patients |
| Jawad a Shah MD PC | Current | Accepting new patients |
Locations
350 E Devon Ave
Itasca, IL 60143
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
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.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Single Specialty
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1063880052
Single Specialty
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
- NPI 1114667763
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1992377972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 DIAMOND CT UNIT C",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673158",
"telephone_number": "248-974-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 DIAMOND CT UNIT C",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673158",
"telephone_number": "248-974-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADEHRA",
"first_name": "JOESINA",
"middle_name": "MANALEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-11",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704313315",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "20114080433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.