Andrew Albert-Marvin Cherro, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Detroit, MI
NPI 1992913131 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1992913131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 4301084156 (MI)
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-8078
- Fax
- (313) 916-9867
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prime Healthcare Services-Port Huron LLC
Practice addresses (Care Compare)
2601 Electric Ave
Lake Huron Medical Center
Port Huron, MI 48060-6587
Phone (810) 216-1500
Hospital & facility affiliations
- Lake Huron Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130326000472 | MI | Practitioner - Anesthesiology |
3779656962 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current |
Accepting new patients | |
| Henry Ford Health System | Anesthesiology | Current |
Accepting new patients |
| Henry Ford Health River District Hospital | Current |
Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Current |
Accepting new patients | |
| Henry Ford Health River District Hospital | Current |
Accepting new patients | |
| Henry Ford Health River District Hospital | Anesthesiology | Current |
Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Current |
Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Past | Accepting new patients |
Locations
7967 Solutions Ctr Dr
Chicago, IL 60677
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
2601 Electric Ave
#C
Port Huron, MI 48060
Phone (810) 216-1500
Interoperability endpoints
- https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
- acherro1017265@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301084156 | MI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 4301084156 | MI | Yes |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
4100 River Rd
East China, MI 48054-2909
Phone (810) 329-4744
Other practice location 1
4100 River Rd
East China, MI 48054-2909
Phone (810) 329-4744
NPI Registry JSON
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1992913131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 RIVER RD",
"city": "EAST CHINA",
"state": "MI",
"postal_code": "480542909",
"telephone_number": "810-329-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-8078",
"fax_number": "313-916-9867"
}
],
"practiceLocations": [
{
"address_1": "4100 River Rd",
"address_purpose": "LOCATION",
"city": "East China",
"state": "MI",
"postal_code": "480542909",
"country_code": "US",
"telephone_number": "810-329-4744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERRO",
"first_name": "ANDREW",
"middle_name": "ALBERT-MARVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301084156",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "4301084156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Betsy Cherian
- Prasad Kurian Cherian
- Scarlett Chernova
- Dmitrii Chernyshev
- Mujtaba Cherri
- Cherry Root Hustle & Healing
- Cherry Streat Health Services
- Teairra Cherry
- Yurij Cherstylo
- Cherubim Home Health Care LLC.
All providers in Detroit, MI · Pain Medicine (Anesthesiology) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.